Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.69 / $2,854.50 / $8,728.00	Facility		$846.69	$2,854.50	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $641.24 / $1,350.48	Professional		$343.67	$641.24	$1,350.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.77 / $746.12 / $1,246.84	Professional		$452.77	$746.12	$1,246.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.48 / $930.31 / $1,112.75	Professional		$484.48	$930.31	$1,112.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.29 / $746.31 / $1,167.18	Facility		$460.29	$746.31	$1,167.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $658.41 / $779.52 / $1,269.75	Professional		$658.41	$779.52	$1,269.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.28 / $878.36 / $954.75	Facility		$579.28	$878.36	$954.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.16 / $818.40 / $1,211.64	Facility		$497.16	$818.40	$1,211.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.30 / $891.66 / $1,200.20	Professional		$674.30	$891.66	$1,200.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $768.17 / $914.13 / $1,248.95	Professional		$768.17	$914.13	$1,248.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.45 / $864.64 / $1,329.32	Professional		$617.45	$864.64	$1,329.32