Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $1,758.00 / $13,320.00	Facility		$491.40	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.37 / $452.87 / $1,136.11	Professional		$227.37	$452.87	$1,136.11
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 $375.60 / $662.34 / $1,263.86	Professional		$375.60	$662.34	$1,263.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.94 / $658.09 / $1,144.41	Professional		$516.94	$658.09	$1,144.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.78 / $666.22 / $1,089.25	Facility		$328.78	$666.22	$1,089.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.38 / $746.13 / $1,062.67	Professional		$412.38	$746.13	$1,062.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.12 / $852.84 / $954.75	Facility		$467.12	$852.84	$954.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.08 / $701.28 / $1,332.86	Facility		$346.08	$701.28	$1,332.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $462.15 / $735.08 / $1,218.86	Professional		$462.15	$735.08	$1,218.86
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 $467.42 / $787.63 / $1,327.45	Professional		$467.42	$787.63	$1,327.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.53 / $945.71 / $1,451.44	Professional		$642.53	$945.71	$1,451.44