Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $7,943.28	Facility		$851.14	$1,096.48	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,148.15	Professional		$398.11	$489.78	$1,148.15
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 $436.52 / $758.58 / $1,174.90	Professional		$436.52	$758.58	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,071.52	Professional		$691.83	$912.01	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $1,071.52	Facility		$426.58	$691.83	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,148.15	Professional		$676.08	$794.33	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $870.96	Facility		$676.08	$831.76	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $1,000.00	Facility		$426.58	$676.08	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,174.90	Professional		$79.43	$812.83	$1,174.90
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 $794.33 / $891.25 / $1,258.93	Professional		$794.33	$891.25	$1,258.93
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 $562.34 / $831.76 / $1,174.90	Professional		$562.34	$831.76	$1,174.90