Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $7,943.28	Facility		$660.69	$851.14	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $912.01	Professional		$309.03	$380.19	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,949.84	Facility		$1,905.46	$1,905.46	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $891.25	Professional		$323.59	$588.84	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $794.33	Professional		$436.52	$602.56	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $831.76	Facility		$316.23	$489.78	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $812.83	Professional		$489.78	$602.56	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $676.08	Facility		$549.54	$645.65	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $794.33	Facility		$309.03	$489.78	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $645.65 / $891.25	Professional		$79.43	$645.65	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $891.25	Professional		$616.60	$691.83	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,413.10	Facility		$1,548.82	$5,128.61	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $912.01	Professional		$407.38	$645.65	$912.01