Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,023.29 / $7,943.28	Facility		$851.14	$1,023.29	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,096.48	Professional		$389.05	$489.78	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $5,128.61	Facility		$1,949.84	$1,949.84	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,122.02	Professional		$407.38	$741.31	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $954.99	Professional		$588.84	$794.33	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $616.60 / $1,047.13	Facility		$416.87	$616.60	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,047.13	Professional		$660.69	$776.25	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $870.96	Facility		$676.08	$794.33	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $1,023.29	Facility		$398.11	$630.96	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,148.15	Professional		$79.43	$831.76	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,148.15	Professional		$794.33	$891.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $18,620.87 / $26,302.68	Facility		$2,818.38	$18,620.87	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,202.26	Professional		$501.19	$851.14	$1,202.26