Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,513.56 / $7,943.28	Facility		$398.11	$1,513.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $1,202.26	Professional		$194.98	$389.05	$1,202.26
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 $263.03 / $524.81 / $1,584.89	Professional		$263.03	$524.81	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,621.81	Professional		$338.84	$630.96	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $575.44 / $1,318.26	Facility		$213.80	$575.44	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,513.56	Professional		$323.59	$512.86	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,202.26 / $1,258.93	Facility		$501.19	$1,202.26	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $501.19 / $1,258.93	Facility		$199.53	$501.19	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $1,584.89	Professional		$79.43	$524.81	$1,584.89
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 $380.19 / $645.65 / $1,621.81	Professional		$380.19	$645.65	$1,621.81
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 $309.03 / $575.44 / $1,621.81	Professional		$309.03	$575.44	$1,621.81