Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.34 / $4,283.46 / $8,728.00	Facility		$666.34	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $427.10 / $1,172.85	Professional		$307.12	$427.10	$1,172.85
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 $407.40 / $722.65 / $1,084.25	Professional		$407.40	$722.65	$1,084.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.45 / $771.14 / $989.83	Professional		$581.45	$771.14	$989.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.69 / $658.18 / $1,121.33	Facility		$404.69	$658.18	$1,121.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $517.95 / $685.51 / $979.30	Professional		$517.95	$685.51	$979.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.00 / $752.97 / $867.65	Facility		$482.00	$752.97	$867.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.50 / $703.81 / $1,143.25	Facility		$414.50	$703.81	$1,143.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.30 / $770.13 / $1,061.28	Professional		$566.30	$770.13	$1,061.28
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 $576.19 / $773.00 / $1,083.57	Professional		$576.19	$773.00	$1,083.57
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 $591.60 / $875.82 / $1,236.97	Professional		$591.60	$875.82	$1,236.97