Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $6,606.93	Facility		$630.96	$1,071.52	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $912.01	Professional		$295.12	$457.09	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,659.59	Facility		$562.34	$562.34	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $660.69 / $1,122.02	Professional		$331.13	$660.69	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,202.26	Professional		$549.54	$776.25	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $549.54 / $954.99	Facility		$323.59	$549.54	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,122.02	Professional		$478.63	$676.08	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $954.99	Facility		$549.54	$776.25	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $912.01	Facility		$316.23	$501.19	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,174.90	Professional		$79.43	$758.58	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,174.90	Professional		$602.56	$851.14	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $12,882.50	Facility		$1,621.81	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,148.15	Professional		$407.38	$691.83	$1,148.15