Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.19 / $1,486.00 / $7,920.26	Facility		$362.19	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.83 / $448.64 / $1,357.46	Professional		$250.83	$448.64	$1,357.46
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 $374.67 / $670.04 / $1,073.38	Professional		$374.67	$670.04	$1,073.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $458.27 / $713.46	Professional		$366.87	$458.27	$713.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.83 / $568.26 / $1,177.49	Facility		$250.83	$568.26	$1,177.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $627.69 / $949.46	Professional		$309.14	$627.69	$949.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $484.62 / $647.62 / $1,094.10	Facility		$484.62	$647.62	$1,094.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.83 / $612.59 / $1,381.12	Facility		$250.83	$612.59	$1,381.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $611.82 / $1,067.88	Professional		$341.88	$611.82	$1,067.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $341.83 / $571.63 / $1,024.31	Professional		$341.83	$571.63	$1,024.31
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 $744.55 / $998.82 / $1,433.78	Professional		$744.55	$998.82	$1,433.78