Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.34 / $7,920.26 / $20,400.00	Facility		$999.34	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.09 / $567.29 / $1,189.41	Professional		$451.09	$567.29	$1,189.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.38 / $890.36 / $1,322.65	Professional		$550.38	$890.36	$1,322.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.43 / $992.40 / $1,190.58	Professional		$837.43	$992.40	$1,190.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $458.58 / $840.42 / $1,179.80	Facility		$458.58	$840.42	$1,179.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $716.25 / $794.38 / $1,172.04	Professional		$716.25	$794.38	$1,172.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.54 / $834.15 / $909.19	Facility		$602.54	$834.15	$909.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.12 / $931.15 / $5,949.00	Facility		$613.12	$931.15	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $803.92 / $917.90 / $1,240.93	Professional		$803.92	$917.90	$1,240.93
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 $825.99 / $1,049.77 / $1,410.91	Professional		$825.99	$1,049.77	$1,410.91
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 $610.05 / $891.43 / $1,342.62	Professional		$610.05	$891.43	$1,342.62