Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $13,803.84	Facility		$977.24	$1,479.11	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,584.89	Professional		$562.34	$741.31	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,778.28	Professional		$676.08	$1,122.02	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,621.81	Professional		$977.24	$1,288.25	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $977.24 / $1,698.24	Facility		$575.44	$977.24	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,659.59	Professional		$933.25	$1,202.26	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,584.89	Facility		$1,071.52	$1,288.25	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,584.89	Facility		$616.60	$977.24	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,737.80	Professional		$79.43	$1,230.27	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,302.69	Facility		$7,413.10	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,819.70	Professional		$977.24	$1,288.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,737.80	Professional		$794.33	$1,230.27	$1,737.80