Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $7,943.28	Facility		$707.95	$1,023.29	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,122.02	Professional		$407.38	$512.86	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,122.02	Professional		$457.09	$676.08	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,096.48	Professional		$489.78	$812.83	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,071.52	Facility		$436.52	$630.96	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,047.13	Professional		$588.84	$741.31	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $912.01	Facility		$630.96	$851.14	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $1,047.13	Facility		$398.11	$630.96	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,122.02	Professional		$79.43	$758.58	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,174.90	Professional		$741.31	$933.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $10,000.00	Facility		$1,698.24	$5,754.40	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,148.15	Professional		$501.19	$776.25	$1,148.15