Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.59 / $2,747.00 / $7,920.26	Facility		$535.59	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $364.25 / $1,020.56	Professional		$240.12	$364.25	$1,020.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.08 / $535.14 / $776.62	Professional		$318.08	$535.14	$776.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.68 / $553.71 / $672.54	Professional		$421.68	$553.71	$672.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.25 / $496.07 / $735.45	Facility		$294.25	$496.07	$735.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.44 / $488.52 / $796.68	Professional		$405.44	$488.52	$796.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $373.50 / $513.67 / $552.84	Facility		$373.50	$513.67	$552.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $543.14 / $730.40	Facility		$307.64	$543.14	$730.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $453.51 / $587.97 / $772.35	Professional		$453.51	$587.97	$772.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,421.39 / $1,421.39 / $1,421.39	Facility		$1,421.39	$1,421.39	$1,421.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $498.79 / $632.99 / $769.12	Professional		$498.79	$632.99	$769.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.54 / $545.88 / $846.48	Professional		$378.54	$545.88	$846.48