Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.76 / $1,486.00 / $15,341.00	Facility		$811.76	$1,486.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.57 / $535.95 / $1,265.54	Professional		$369.57	$535.95	$1,265.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.07 / $890.07 / $1,277.91	Professional		$554.07	$890.07	$1,277.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $755.78 / $927.60 / $1,143.08	Professional		$755.78	$927.60	$1,143.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.20 / $766.41 / $1,172.41	Facility		$503.20	$766.41	$1,172.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $626.05 / $801.24 / $1,173.42	Professional		$626.05	$801.24	$1,173.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $604.79 / $868.21 / $1,009.02	Facility		$604.79	$868.21	$1,009.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.95 / $797.08 / $1,431.90	Facility		$535.95	$797.08	$1,431.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $693.38 / $906.75 / $1,250.51	Professional		$693.38	$906.75	$1,250.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $699.58 / $936.82 / $1,335.23	Professional		$699.58	$936.82	$1,335.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.45 / $999.69 / $1,465.64	Professional		$684.45	$999.69	$1,465.64