Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.56 / $7,920.26 / $20,400.00	Facility		$847.56	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.06 / $535.35 / $1,225.64	Professional		$346.06	$535.35	$1,225.64
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 $456.29 / $740.34 / $1,152.33	Professional		$456.29	$740.34	$1,152.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.83 / $847.84 / $1,017.16	Professional		$723.83	$847.84	$1,017.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.91 / $704.32 / $944.35	Facility		$542.91	$704.32	$944.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $589.55 / $693.10 / $1,043.66	Professional		$589.55	$693.10	$1,043.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $542.64 / $741.02 / $793.28	Facility		$542.64	$741.02	$793.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.91 / $765.26 / $5,217.00	Facility		$542.91	$765.26	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $665.55 / $792.33 / $1,087.27	Professional		$665.55	$792.33	$1,087.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $717.13 / $924.11 / $1,242.02	Professional		$717.13	$924.11	$1,242.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.55 / $785.22 / $1,227.22	Professional		$546.55	$785.22	$1,227.22