Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,348.96 / $7,943.28	Facility		$707.95	$1,348.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,096.48	Professional		$346.74	$537.03	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,398.83	Facility		$1,949.84	$1,949.84	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $1,318.26	Professional		$380.19	$758.58	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,288.25	Professional		$602.56	$870.96	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,122.02	Facility		$371.54	$616.60	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,258.93	Professional		$575.44	$812.83	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $1,096.48	Facility		$660.69	$933.25	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $630.96 / $1,071.52	Facility		$363.08	$630.96	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,380.38	Professional		$79.43	$891.25	$1,380.38
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 $676.08 / $954.99 / $1,380.38	Professional		$676.08	$954.99	$1,380.38
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 $489.78 / $812.83 / $1,318.26	Professional		$489.78	$812.83	$1,318.26