Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,128.61 / $7,943.28	Facility		$776.25	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $851.14	Professional		$229.09	$380.19	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,398.83	Facility		$1,949.84	$1,949.84	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $1,000.00	Professional		$269.15	$575.44	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $977.24	Professional		$588.84	$794.33	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $776.25	Facility		$295.12	$446.68	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $933.25	Professional		$363.08	$562.34	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $776.25	Facility		$436.52	$630.96	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $446.68 / $776.25	Facility		$281.84	$446.68	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $1,000.00	Professional		$79.43	$660.69	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,023.29	Professional		$501.19	$776.25	$1,023.29
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 $316.23 / $575.44 / $1,000.00	Professional		$316.23	$575.44	$1,000.00