Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,230.27 / $7,943.28	Facility		$812.83	$1,230.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,318.26	Professional		$426.58	$602.56	$1,318.26
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 $489.78 / $776.25 / $1,348.96	Professional		$489.78	$776.25	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,318.26	Professional		$575.44	$870.96	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $707.95 / $1,258.93	Facility		$446.68	$707.95	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,288.25	Professional		$616.60	$870.96	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,096.48	Facility		$724.44	$1,000.00	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $1,174.90	Facility		$426.58	$691.83	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,258.93	Professional		$79.43	$851.14	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,380.38	Professional		$776.25	$1,047.13	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,348.96	Professional		$562.34	$851.14	$1,348.96