Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,137.96 / $6,456.54	Facility		$467.74	$2,137.96	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $794.33 / $1,778.28	Professional		$199.53	$794.33	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,949.84	Facility		$1,479.11	$1,479.11	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $2,187.76	Professional		$257.04	$575.44	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,949.84	Professional		$338.84	$512.86	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $831.76 / $2,089.30	Facility		$208.93	$831.76	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $870.96 / $1,949.84	Professional		$338.84	$870.96	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,905.46	Facility		$1,318.26	$1,584.89	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $741.31 / $2,137.96	Facility		$204.17	$741.31	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $549.54 / $2,137.96	Professional		$79.43	$549.54	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,244.36	Facility		$4,365.16	$6,025.60	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,380.38 / $2,187.76	Professional		$389.05	$1,380.38	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $7,413.10	Facility		$1,548.82	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $912.01 / $2,344.23	Professional		$316.23	$912.01	$2,344.23