Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.45 / $723.04 / $8,773.70	Facility		$351.45	$723.04	$8,773.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $508.24 / $1,451.82	Professional		$261.20	$508.24	$1,451.82
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 $363.13 / $641.60 / $1,033.94	Professional		$363.13	$641.60	$1,033.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.91 / $447.20 / $700.00	Professional		$357.91	$447.20	$700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.40 / $523.28 / $1,200.74	Facility		$243.40	$523.28	$1,200.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $620.02 / $954.80	Professional		$301.08	$620.02	$954.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.28 / $617.12 / $1,042.52	Facility		$475.28	$617.12	$1,042.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.40 / $600.82 / $1,321.36	Facility		$243.40	$600.82	$1,321.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.87 / $609.00 / $1,027.61	Professional		$330.87	$609.00	$1,027.61
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 $330.82 / $562.63 / $981.32	Professional		$330.82	$562.63	$981.32
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 $708.40 / $965.70 / $1,441.29	Professional		$708.40	$965.70	$1,441.29