Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.30 / $2,747.00 / $7,920.26	Facility		$788.30	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.97 / $501.45 / $1,592.16	Professional		$300.97	$501.45	$1,592.16
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 $512.12 / $909.79 / $1,618.04	Professional		$512.12	$909.79	$1,618.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.15 / $968.48 / $1,460.90	Professional		$756.15	$968.48	$1,460.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $477.10 / $779.01 / $1,306.80	Facility		$477.10	$779.01	$1,306.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $570.70 / $897.60 / $1,346.22	Professional		$570.70	$897.60	$1,346.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $619.62 / $1,077.09 / $1,191.93	Facility		$619.62	$1,077.09	$1,191.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.10 / $812.60 / $1,599.44	Facility		$477.10	$812.60	$1,599.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.25 / $988.14 / $1,539.90	Professional		$640.25	$988.14	$1,539.90
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 $674.88 / $1,088.60 / $1,663.18	Professional		$674.88	$1,088.60	$1,663.18
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 $770.04 / $1,147.31 / $1,805.24	Professional		$770.04	$1,147.31	$1,805.24