Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.54 / $2,747.00 / $7,920.26	Facility		$505.54	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.71 / $430.02 / $1,187.68	Professional		$211.71	$430.02	$1,187.68
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 $340.40 / $619.91 / $1,243.50	Professional		$340.40	$619.91	$1,243.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.37 / $626.49 / $1,171.85	Professional		$493.37	$626.49	$1,171.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.89 / $607.19 / $962.20	Facility		$304.89	$607.19	$962.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $648.44 / $1,070.31	Professional		$377.00	$648.44	$1,070.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.87 / $789.33 / $963.46	Facility		$392.87	$789.33	$963.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.89 / $654.48 / $1,198.77	Facility		$304.89	$654.48	$1,198.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.88 / $687.33 / $1,215.39	Professional		$425.88	$687.33	$1,215.39
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 $437.06 / $736.47 / $1,294.93	Professional		$437.06	$736.47	$1,294.93
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 $607.84 / $853.58 / $1,373.88	Professional		$607.84	$853.58	$1,373.88