Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.39 / $2,747.00 / $7,920.26	Facility		$539.39	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.96 / $426.57 / $1,167.31	Professional		$230.96	$426.57	$1,167.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.28 / $629.48 / $1,190.70	Professional		$361.28	$629.48	$1,190.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $638.04 / $1,055.55	Professional		$507.50	$638.04	$1,055.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $333.72 / $640.70 / $997.70	Facility		$333.72	$640.70	$997.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $690.20 / $983.62	Professional		$396.14	$690.20	$983.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.94 / $781.42 / $882.39	Facility		$456.94	$781.42	$882.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.72 / $640.70 / $1,215.31	Facility		$333.72	$640.70	$1,215.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.45 / $713.21 / $1,146.66	Professional		$450.45	$713.21	$1,146.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $456.67 / $766.72 / $1,230.88	Professional		$456.67	$766.72	$1,230.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.38 / $860.38 / $1,365.44	Professional		$576.38	$860.38	$1,365.44