Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,943.28 / $13,182.57	Facility		$870.96	$7,943.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $2,041.74	Professional		$416.87	$676.08	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,230.27	Professional		$457.09	$794.33	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,071.52	Professional		$691.83	$912.01	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $758.58 / $10,471.29	Facility		$436.52	$758.58	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,318.26	Professional		$660.69	$831.76	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $912.01	Facility		$724.44	$870.96	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $707.95 / $1,071.52	Facility		$436.52	$707.95	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,202.26	Professional		$79.43	$851.14	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,318.26	Professional		$794.33	$912.01	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,202.26	Professional		$588.84	$870.96	$1,202.26