Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $13,182.57	Facility		$954.99	$1,230.27	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,348.96	Professional		$446.68	$549.54	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,398.83	Facility		$1,659.59	$1,659.59	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $851.14 / $1,288.25	Professional		$389.05	$851.14	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,202.26	Professional		$724.44	$977.24	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $1,122.02	Facility		$478.63	$676.08	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,230.27	Professional		$660.69	$851.14	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $977.24	Facility		$707.95	$891.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $1,122.02	Facility		$457.09	$676.08	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,318.26	Professional		$79.43	$933.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,964.78	Facility		$6,606.93	$8,912.51	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,318.26	Professional		$870.96	$1,023.29	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,120.11 / $12,882.50	Facility		$1,621.81	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,318.26	Professional		$524.81	$912.01	$1,318.26