Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $7,943.28	Facility		$912.01	$1,174.90	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,258.93	Professional		$426.58	$524.81	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,258.93	Professional		$478.63	$812.83	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,096.48	Professional		$676.08	$912.01	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $1,148.15	Facility		$436.52	$724.44	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,174.90	Professional		$707.95	$851.14	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $912.01	Facility		$707.95	$891.25	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $1,096.48	Facility		$446.68	$724.44	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,202.26	Professional		$79.43	$870.96	$1,202.26
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 $831.76 / $912.01 / $1,348.96	Professional		$831.76	$912.01	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,511.38	Facility		$1,698.24	$5,754.40	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,230.27	Professional		$588.84	$870.96	$1,230.27