Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,698.24 / $6,606.93	Facility		$741.31	$1,698.24	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $1,412.54	Professional		$302.00	$588.84	$1,412.54
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 $426.58 / $831.76 / $1,698.24	Professional		$426.58	$831.76	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,819.70	Professional		$588.84	$851.14	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $724.44 / $1,698.24	Facility		$331.13	$724.44	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $1,659.59	Professional		$537.03	$954.99	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,380.38	Facility		$812.83	$1,230.27	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,479.11	Facility		$371.54	$707.95	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,698.24	Professional		$79.43	$831.76	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,698.24	Professional		$616.60	$954.99	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,548.82	Professional		$478.63	$851.14	$1,548.82