Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,096.48 / $7,943.28	Facility		$562.34	$1,096.48	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $1,096.48	Professional		$331.13	$436.52	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,202.26	Professional		$426.58	$776.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,230.27	Professional		$758.58	$977.24	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $954.99	Facility		$416.87	$602.56	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,174.90	Professional		$588.84	$724.44	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $933.25	Facility		$549.54	$776.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $912.01	Facility		$398.11	$602.56	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $1,174.90	Professional		$79.43	$776.25	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,202.26	Professional		$645.65	$851.14	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,096.48	Professional		$478.63	$707.95	$1,096.48