Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.23 / $3,610.00 / $7,920.26	Facility		$443.23	$3,610.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.51 / $763.07 / $1,474.74	Professional		$202.51	$763.07	$1,474.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $615.26 / $2,261.96	Professional		$300.99	$615.26	$2,261.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.39 / $557.41 / $1,993.33	Professional		$379.39	$557.41	$1,993.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.92 / $835.32 / $2,592.00	Facility		$304.92	$835.32	$2,592.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.52 / $1,159.61 / $2,058.69	Professional		$338.52	$1,159.61	$2,058.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.07 / $1,572.92 / $1,938.80	Facility		$416.07	$1,572.92	$1,938.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.92 / $1,177.04 / $2,592.00	Facility		$304.92	$1,177.04	$2,592.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.78 / $1,057.64 / $2,275.01	Professional		$383.78	$1,057.64	$2,275.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.20 / $1,550.50 / $2,348.66	Professional		$385.20	$1,550.50	$2,348.66
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 $1,359.15 / $1,968.11 / $2,682.10	Professional		$1,359.15	$1,968.11	$2,682.10