Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.16 / $1,583.72 / $7,920.26	Facility		$439.16	$1,583.72	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.40 / $455.80 / $1,114.41	Professional		$241.40	$455.80	$1,114.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,310.00	Facility		$1,089.75	$1,089.75	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.56 / $589.80 / $1,299.06	Professional		$335.56	$589.80	$1,299.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.54 / $622.28 / $1,180.52	Professional		$423.54	$622.28	$1,180.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.62 / $660.33 / $1,234.91	Facility		$340.62	$660.33	$1,234.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.18 / $726.60 / $1,167.70	Professional		$389.18	$726.60	$1,167.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $474.80 / $854.92 / $979.54	Facility		$474.80	$854.92	$979.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.62 / $735.62 / $1,319.63	Facility		$340.62	$735.62	$1,319.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.51 / $689.07 / $1,278.03	Professional		$431.51	$689.07	$1,278.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $433.11 / $828.23 / $1,327.54	Professional		$433.11	$828.23	$1,327.54
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 $690.03 / $947.10 / $1,625.44	Professional		$690.03	$947.10	$1,625.44