Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.68 / $1,486.00 / $7,920.26	Facility		$420.68	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $388.77 / $1,007.53	Professional		$233.26	$388.77	$1,007.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.45 / $623.45 / $1,019.98	Professional		$355.45	$623.45	$1,019.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.43 / $644.78 / $920.92	Professional		$511.43	$644.78	$920.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.02 / $562.55 / $885.80	Facility		$342.02	$562.55	$885.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $403.10 / $600.60 / $852.89	Professional		$403.10	$600.60	$852.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.22 / $695.23 / $760.92	Facility		$446.22	$695.23	$760.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.02 / $562.55 / $961.93	Facility		$342.02	$562.55	$961.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.15 / $672.00 / $980.88	Professional		$450.15	$672.00	$980.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $452.87 / $688.84 / $1,061.20	Professional		$452.87	$688.84	$1,061.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.74 / $794.75 / $1,160.33	Professional		$552.74	$794.75	$1,160.33