Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,584.89 / $7,943.28	Facility		$933.25	$1,584.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,737.80	Professional		$588.84	$691.83	$1,737.80
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 $512.86 / $1,122.02 / $1,659.59	Professional		$512.86	$1,122.02	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,513.56	Professional		$831.76	$1,148.15	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,513.56	Facility		$602.56	$891.25	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,513.56	Professional		$933.25	$1,096.48	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,258.93	Facility		$954.99	$1,202.26	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,513.56	Facility		$575.44	$912.01	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,698.24	Professional		$79.43	$1,202.26	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,698.24	Professional		$1,148.15	$1,318.26	$1,698.24
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 $741.31 / $1,174.90 / $1,698.24	Professional		$741.31	$1,174.90	$1,698.24