Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.80 / $2,747.00 / $7,920.26	Facility		$791.80	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $635.51 / $1,834.95	Professional		$347.30	$635.51	$1,834.95
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 $584.10 / $1,029.47 / $1,710.23	Professional		$584.10	$1,029.47	$1,710.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.38 / $976.22 / $1,544.15	Professional		$762.38	$976.22	$1,544.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $485.11 / $947.14 / $1,497.37	Facility		$485.11	$947.14	$1,497.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $998.58 / $1,422.22	Professional		$606.00	$998.58	$1,422.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.35 / $1,229.43 / $1,601.30	Facility		$654.35	$1,229.43	$1,601.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.64 / $975.63 / $2,053.42	Facility		$510.64	$975.63	$2,053.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $677.12 / $1,097.76 / $1,683.30	Professional		$677.12	$1,097.76	$1,683.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $684.95 / $1,127.61 / $1,783.11	Professional		$684.95	$1,127.61	$1,783.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.23 / $1,434.71 / $2,056.96	Professional		$946.23	$1,434.71	$2,056.96