Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $7,943.28	Facility		$741.31	$1,047.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,023.29	Professional		$371.54	$478.63	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $1,230.27	Professional		$457.09	$758.58	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,174.90	Professional		$645.65	$891.25	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,148.15	Facility		$416.87	$691.83	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,122.02	Professional		$588.84	$812.83	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $1,000.00	Facility		$707.95	$912.01	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,047.13	Facility		$416.87	$691.83	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,202.26	Professional		$79.43	$831.76	$1,202.26
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 $660.69 / $891.25 / $1,230.27	Professional		$660.69	$891.25	$1,230.27
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 $549.54 / $831.76 / $1,202.26	Professional		$549.54	$831.76	$1,202.26