Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $7,943.28	Facility		$676.08	$1,202.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,047.13	Professional		$323.59	$512.86	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $741.31 / $1,288.25	Professional		$371.54	$741.31	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,258.93	Professional		$575.44	$831.76	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $588.84 / $1,071.52	Facility		$363.08	$588.84	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,230.27	Professional		$549.54	$776.25	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,071.52	Facility		$645.65	$912.01	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $602.56 / $1,047.13	Facility		$354.81	$602.56	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,348.96	Professional		$79.43	$870.96	$1,348.96
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 $645.65 / $933.25 / $1,348.96	Professional		$645.65	$933.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $12,302.69	Facility		$1,548.82	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,288.25	Professional		$467.74	$776.25	$1,288.25