Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.73 / $1,018.12 / $7,920.26	Facility		$649.73	$1,018.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.63 / $505.06 / $1,551.52	Professional		$255.63	$505.06	$1,551.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.32 / $649.91 / $1,151.25	Professional		$348.32	$649.91	$1,151.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.21 / $694.30 / $1,056.65	Professional		$465.21	$694.30	$1,056.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.42 / $631.35 / $1,062.15	Facility		$372.42	$631.35	$1,062.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.67 / $715.18 / $1,018.58	Professional		$469.67	$715.18	$1,018.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $484.88 / $827.87 / $917.23	Facility		$484.88	$827.87	$917.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.13 / $700.65 / $1,165.30	Facility		$386.13	$700.65	$1,165.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.38 / $752.95 / $1,086.40	Professional		$526.38	$752.95	$1,086.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $532.62 / $820.54 / $1,195.04	Professional		$532.62	$820.54	$1,195.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.48 / $842.40 / $1,220.18	Professional		$593.48	$842.40	$1,220.18