Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $6,606.93	Facility		$602.56	$954.99	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $977.24	Professional		$371.54	$436.52	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,023.29	Professional		$426.58	$602.56	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $933.25	Professional		$416.87	$741.31	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $588.84 / $933.25	Facility		$389.05	$588.84	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $977.24	Professional		$524.81	$660.69	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $776.25	Facility		$537.03	$741.31	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $912.01	Facility		$371.54	$562.34	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $1,000.00	Professional		$79.43	$707.95	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,000.00	Professional		$676.08	$794.33	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,023.29	Professional		$467.74	$691.83	$1,023.29