Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.84 / $2,747.00 / $7,920.26	Facility		$598.84	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $406.05 / $874.35	Professional		$250.93	$406.05	$874.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.60 / $675.65 / $1,118.48	Professional		$379.60	$675.65	$1,118.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.80 / $729.52 / $1,009.87	Professional		$575.80	$729.52	$1,009.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $379.31 / $604.92 / $933.32	Facility		$379.31	$604.92	$933.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.96 / $655.94 / $934.22	Professional		$441.96	$655.94	$934.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $474.36 / $758.71 / $825.44	Facility		$474.36	$758.71	$825.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.31 / $604.92 / $1,139.41	Facility		$379.31	$604.92	$1,139.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $493.92 / $736.92 / $1,059.52	Professional		$493.92	$736.92	$1,059.52
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 $494.54 / $758.95 / $1,144.08	Professional		$494.54	$758.95	$1,144.08
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 $577.66 / $814.89 / $1,282.73	Professional		$577.66	$814.89	$1,282.73