Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.88 / $988.00 / $7,920.26	Facility		$755.88	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.31 / $437.68 / $967.45	Professional		$298.31	$437.68	$967.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.60 / $689.81 / $1,055.76	Professional		$391.60	$689.81	$1,055.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.94 / $832.62 / $964.95	Professional		$691.94	$832.62	$964.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.18 / $651.11 / $899.30	Facility		$442.18	$651.11	$899.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $533.02 / $634.59 / $1,022.55	Professional		$533.02	$634.59	$1,022.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.42 / $680.05 / $787.92	Facility		$443.42	$680.05	$787.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.18 / $655.50 / $1,001.50	Facility		$442.18	$655.50	$1,001.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.46 / $748.37 / $1,026.09	Professional		$593.46	$748.37	$1,026.09
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 $637.78 / $856.64 / $1,105.23	Professional		$637.78	$856.64	$1,105.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.40 / $776.30 / $1,230.92	Professional		$515.40	$776.30	$1,230.92