Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $7,943.28	Facility		$645.65	$1,071.52	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,148.15	Professional		$398.11	$501.19	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,122.02	Professional		$436.52	$758.58	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,000.00	Professional		$616.60	$851.14	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,047.13	Facility		$426.58	$602.56	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,071.52	Professional		$645.65	$776.25	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $891.25	Facility		$645.65	$831.76	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $1,000.00	Facility		$398.11	$602.56	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,174.90	Professional		$79.43	$831.76	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,174.90	Professional		$794.33	$912.01	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,454.71 / $7,244.36	Facility		$794.33	$2,454.71	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,230.27	Professional		$489.78	$851.14	$1,230.27