Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.97 / $4,283.46 / $8,728.00	Facility		$458.97	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $435.72 / $1,109.99	Professional		$210.13	$435.72	$1,109.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $1,937.44	Facility		$842.71	$842.71	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $539.86 / $1,076.73	Professional		$311.75	$539.86	$1,076.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.86 / $577.20 / $981.12	Professional		$392.86	$577.20	$981.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.86 / $594.23 / $1,093.04	Facility		$316.86	$594.23	$1,093.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $353.22 / $640.99 / $971.20	Professional		$353.22	$640.99	$971.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.40 / $739.62 / $851.50	Facility		$415.40	$739.62	$851.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.86 / $650.62 / $1,244.01	Facility		$316.86	$650.62	$1,244.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.23 / $625.04 / $1,059.14	Professional		$396.23	$625.04	$1,059.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,975.12 / $3,619.70	Facility		$2,153.07	$2,975.12	$3,619.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $399.45 / $704.13 / $1,096.95	Professional		$399.45	$704.13	$1,096.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $858.65 / $1,257.70	Professional		$583.45	$858.65	$1,257.70