Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.93 / $2,747.00 / $13,320.00	Facility		$730.93	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $511.74 / $1,369.50	Professional		$286.77	$511.74	$1,369.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.47 / $823.43 / $1,397.68	Professional		$469.47	$823.43	$1,397.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.19 / $888.10 / $1,261.93	Professional		$697.19	$888.10	$1,261.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.44 / $735.38 / $1,101.59	Facility		$412.44	$735.38	$1,101.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $525.69 / $770.78 / $1,169.09	Professional		$525.69	$770.78	$1,169.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $924.21 / $1,031.13	Facility		$525.00	$924.21	$1,031.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.22 / $755.12 / $1,353.23	Facility		$432.22	$755.12	$1,353.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $599.95 / $898.38 / $1,336.32	Professional		$599.95	$898.38	$1,336.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $608.27 / $944.69 / $1,434.47	Professional		$608.27	$944.69	$1,434.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.65 / $1,005.69 / $1,593.86	Professional		$694.65	$1,005.69	$1,593.86