Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $7,943.28	Facility		$691.83	$1,148.15	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $1,258.93	Professional		$426.58	$512.86	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,202.26	Professional		$398.11	$812.83	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,096.48	Professional		$602.56	$831.76	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $645.65 / $1,122.02	Facility		$436.52	$645.65	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,096.48	Professional		$676.08	$812.83	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $912.01	Facility		$645.65	$891.25	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $1,047.13	Facility		$407.38	$645.65	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,230.27	Professional		$79.43	$891.25	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,230.27	Professional		$851.14	$954.99	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,230.27	Professional		$549.54	$870.96	$1,230.27