Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.47 / $4,684.68 / $8,728.00	Facility		$912.47	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.67 / $562.48 / $1,309.71	Professional		$377.67	$562.48	$1,309.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.60 / $804.71 / $1,214.06	Professional		$490.60	$804.71	$1,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.85 / $902.61 / $1,082.86	Professional		$767.85	$902.61	$1,082.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.72 / $744.00 / $1,078.17	Facility		$496.72	$744.00	$1,078.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $658.61 / $718.49 / $1,077.73	Professional		$658.61	$718.49	$1,077.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $552.72 / $777.87 / $862.92	Facility		$552.72	$777.87	$862.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $544.01 / $836.58 / $2,450.00	Facility		$544.01	$836.58	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.03 / $846.52 / $1,134.67	Professional		$727.03	$846.52	$1,134.67
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 $755.26 / $964.70 / $1,296.56	Professional		$755.26	$964.70	$1,296.56
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 $571.04 / $801.09 / $1,252.02	Professional		$571.04	$801.09	$1,252.02