Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.81 / $1,976.93 / $7,920.26	Facility		$718.81	$1,976.93	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.56 / $582.99 / $1,690.46	Professional		$304.56	$582.99	$1,690.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.21 / $868.67 / $1,832.10	Professional		$491.21	$868.67	$1,832.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.21 / $863.08 / $1,663.47	Professional		$681.21	$863.08	$1,663.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.05 / $941.81 / $1,438.20	Facility		$438.05	$941.81	$1,438.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.66 / $959.32 / $1,546.14	Professional		$537.66	$959.32	$1,546.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $621.09 / $1,117.48 / $1,381.54	Facility		$621.09	$1,117.48	$1,381.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.05 / $958.01 / $1,761.68	Facility		$438.05	$958.01	$1,761.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $224.97 / $224.97 / $224.97	Facility	AS	$224.97	$224.97	$224.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $610.47 / $974.81 / $1,761.68	Professional		$610.47	$974.81	$1,761.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $621.19 / $1,044.48 / $1,893.68	Professional		$621.19	$1,044.48	$1,893.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.54 / $1,225.70 / $1,975.63	Professional		$843.54	$1,225.70	$1,975.63