Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.22 / $4,283.46 / $8,728.00	Facility		$634.22	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $435.49 / $1,359.71	Professional		$285.70	$435.49	$1,359.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.09 / $470.09 / $1,937.44	Facility		$470.09	$470.09	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.96 / $684.23 / $1,135.28	Professional		$387.96	$684.23	$1,135.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.07 / $765.27 / $1,046.96	Professional		$553.07	$765.27	$1,046.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.85 / $668.25 / $1,016.60	Facility		$397.85	$668.25	$1,016.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.93 / $665.91 / $1,014.06	Professional		$465.93	$665.91	$1,014.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $471.55 / $769.63 / $854.25	Facility		$471.55	$769.63	$854.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.08 / $668.25 / $1,091.50	Facility		$399.08	$668.25	$1,091.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.50 / $773.01 / $1,106.64	Professional		$535.50	$773.01	$1,106.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,245.03 / $1,561.00 / $2,059.69	Facility		$1,245.03	$1,561.00	$2,059.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $542.76 / $782.32 / $1,147.42	Professional		$542.76	$782.32	$1,147.42
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $839.23 / $1,340.70	Professional		$599.25	$839.23	$1,340.70