Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.12 / $1,105.65 / $7,920.26	Facility		$512.12	$1,105.65	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $416.36 / $1,105.65	Professional		$274.67	$416.36	$1,105.65
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 $426.53 / $735.38 / $1,195.01	Professional		$426.53	$735.38	$1,195.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.37 / $782.51 / $1,078.95	Professional		$622.37	$782.51	$1,078.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.36 / $656.21 / $988.86	Facility		$416.36	$656.21	$988.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $490.68 / $705.57 / $1,004.91	Professional		$490.68	$705.57	$1,004.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $519.79 / $817.79 / $891.10	Facility		$519.79	$817.79	$891.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.36 / $656.21 / $1,206.98	Facility		$416.36	$656.21	$1,206.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $547.37 / $805.45 / $1,154.13	Professional		$547.37	$805.45	$1,154.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.76 / $817.16 / $1,247.15	Professional		$549.76	$817.16	$1,247.15
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 $608.15 / $882.00 / $1,390.22	Professional		$608.15	$882.00	$1,390.22