Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $7,943.28	Facility		$794.33	$1,230.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,202.26	Professional		$436.52	$602.56	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,445.44	Professional		$524.81	$912.01	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,412.54	Professional		$794.33	$1,071.52	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $1,348.96	Facility		$467.74	$794.33	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,380.38	Professional		$724.44	$977.24	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,202.26	Facility		$831.76	$1,071.52	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $1,258.93	Facility		$478.63	$794.33	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,380.38	Professional		$79.43	$977.24	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,479.11	Professional		$776.25	$1,047.13	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $25,703.96	Facility		$1,995.26	$10,232.93	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,380.38	Professional		$630.96	$977.24	$1,380.38