Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.92 / $4,283.46 / $8,728.00	Facility		$623.92	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $449.77 / $1,309.08	Professional		$273.20	$449.77	$1,309.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.33 / $502.33 / $1,937.44	Facility		$502.33	$502.33	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $670.65 / $1,108.24	Professional		$354.55	$670.65	$1,108.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.04 / $733.34 / $1,000.61	Professional		$525.04	$733.34	$1,000.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.10 / $636.66 / $967.01	Facility		$329.10	$636.66	$967.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $430.18 / $602.04 / $977.68	Professional		$430.18	$602.04	$977.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.48 / $688.09 / $820.08	Facility		$431.48	$688.09	$820.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.88 / $660.45 / $1,061.47	Facility		$334.88	$660.45	$1,061.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.66 / $747.30 / $1,076.19	Professional		$517.66	$747.30	$1,076.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,743.41 / $5,709.03	Facility		$3,539.74	$4,743.41	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $760.79 / $1,098.06	Professional		$530.01	$760.79	$1,098.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.35 / $784.57 / $1,316.03	Professional		$544.35	$784.57	$1,316.03