Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,548.82 / $6,456.54	Facility		$263.03	$1,548.82	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $371.54 / $1,148.15	Professional		$169.82	$371.54	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,290.87	Facility		$1,479.11	$1,479.11	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $1,513.56	Professional		$223.87	$457.09	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,548.82	Professional		$295.12	$446.68	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $446.68 / $1,288.25	Facility		$181.97	$446.68	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $1,412.54	Professional		$281.84	$416.87	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,096.48 / $1,174.90	Facility		$371.54	$1,096.48	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $398.11 / $1,202.26	Facility		$173.78	$398.11	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $1,513.56	Professional		$79.43	$446.68	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,244.36	Facility		$4,365.16	$6,025.60	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,513.56	Professional		$331.13	$562.34	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $7,413.10	Facility		$1,548.82	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $1,479.11	Professional		$257.04	$512.86	$1,479.11