Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.79 / $4,684.68 / $8,728.00	Facility		$815.79	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $568.42 / $1,018.67	Professional		$322.73	$568.42	$1,018.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.31 / $625.39 / $1,019.84	Professional		$391.31	$625.39	$1,019.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $799.88 / $908.91	Professional		$394.24	$799.88	$908.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.35 / $611.07 / $1,039.45	Facility		$386.35	$611.07	$1,039.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $582.23 / $648.52 / $1,105.05	Professional		$582.23	$648.52	$1,105.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $469.35 / $717.22 / $775.19	Facility		$469.35	$717.22	$775.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.09 / $670.22 / $981.67	Facility		$406.09	$670.22	$981.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $571.66 / $732.16 / $1,000.04	Professional		$571.66	$732.16	$1,000.04
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 $668.53 / $740.63 / $1,029.93	Professional		$668.53	$740.63	$1,029.93
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 $471.71 / $723.36 / $1,122.30	Professional		$471.71	$723.36	$1,122.30