Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.64 / $1,315.65 / $7,920.26	Facility		$758.64	$1,315.65	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.92 / $516.66 / $1,313.85	Professional		$341.92	$516.66	$1,313.85
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 $501.34 / $894.68 / $1,432.87	Professional		$501.34	$894.68	$1,432.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.88 / $969.86 / $1,301.32	Professional		$768.88	$969.86	$1,301.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.08 / $775.36 / $1,188.00	Facility		$508.08	$775.36	$1,188.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $595.09 / $852.34 / $1,213.94	Professional		$595.09	$852.34	$1,213.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $627.79 / $982.63 / $1,064.63	Facility		$627.79	$982.63	$1,064.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $508.08 / $784.84 / $1,435.61	Facility		$508.08	$784.84	$1,435.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.54 / $965.43 / $1,371.12	Professional		$666.54	$965.43	$1,371.12
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 $668.76 / $989.71 / $1,478.59	Professional		$668.76	$989.71	$1,478.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.99 / $1,043.98 / $1,632.73	Professional		$695.99	$1,043.98	$1,632.73