Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.61 / $1,486.00 / $7,920.26	Facility		$805.61	$1,486.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.38 / $531.38 / $1,154.73	Professional		$371.38	$531.38	$1,154.73
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 $550.26 / $882.12 / $1,260.35	Professional		$550.26	$882.12	$1,260.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.46 / $924.20 / $1,132.02	Professional		$748.46	$924.20	$1,132.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.38 / $758.97 / $1,165.73	Facility		$531.38	$758.97	$1,165.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $623.80 / $796.63 / $1,169.19	Professional		$623.80	$796.63	$1,169.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $608.03 / $860.30 / $1,002.32	Facility		$608.03	$860.30	$1,002.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.38 / $749.92 / $1,180.75	Facility		$531.38	$749.92	$1,180.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.28 / $899.72 / $1,237.92	Professional		$689.28	$899.72	$1,237.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $695.68 / $931.16 / $1,317.42	Professional		$695.68	$931.16	$1,317.42
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 $689.43 / $984.90 / $1,450.31	Professional		$689.43	$984.90	$1,450.31