Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.76 / $5,957.50 / $13,320.00	Facility		$590.76	$5,957.50	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.23 / $619.35 / $1,032.68	Professional		$351.23	$619.35	$1,032.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.61 / $722.11 / $1,152.20	Professional		$482.61	$722.11	$1,152.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.54 / $735.35 / $872.03	Professional		$620.54	$735.35	$872.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.30 / $755.52 / $1,307.51	Facility		$480.30	$755.52	$1,307.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $565.28 / $725.11 / $1,117.20	Professional		$565.28	$725.11	$1,117.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $498.87 / $674.69 / $1,159.34	Facility		$498.87	$674.69	$1,159.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.30 / $877.84 / $5,217.00	Facility		$480.30	$877.84	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $637.00 / $761.81 / $1,120.64	Professional		$637.00	$761.81	$1,120.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $629.17 / $827.71 / $1,090.31	Professional		$629.17	$827.71	$1,090.31
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 $523.64 / $801.57 / $1,136.01	Professional		$523.64	$801.57	$1,136.01