Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.18 / $7,920.26 / $20,400.00	Facility		$892.18	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.48 / $554.90 / $1,282.35	Professional		$369.48	$554.90	$1,282.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.78 / $780.91 / $1,167.77	Professional		$470.78	$780.91	$1,167.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.39 / $882.46 / $1,058.70	Professional		$753.39	$882.46	$1,058.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $527.16 / $732.22 / $966.45	Facility		$527.16	$732.22	$966.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $636.88 / $703.70 / $1,063.75	Professional		$636.88	$703.70	$1,063.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.45 / $751.74 / $812.71	Facility		$548.45	$751.74	$812.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.90 / $813.40 / $5,949.00	Facility		$554.90	$813.40	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $695.64 / $809.79 / $1,105.13	Professional		$695.64	$809.79	$1,105.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $736.00 / $946.75 / $1,272.44	Professional		$736.00	$946.75	$1,272.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.79 / $791.71 / $1,246.30	Professional		$549.79	$791.71	$1,246.30