Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.21 / $404.44 / $545.34	Professional		$344.21	$404.44	$545.34
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 $457.90 / $738.50 / $1,154.49	Professional		$457.90	$738.50	$1,154.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.42 / $843.77 / $1,011.95	Professional		$724.42	$843.77	$1,011.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.82 / $673.20 / $928.77	Facility		$421.82	$673.20	$928.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $783.88 / $783.88 / $783.88	Professional		$783.88	$783.88	$783.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.70 / $758.38 / $786.58	Facility		$645.70	$758.38	$786.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.82 / $645.15 / $928.77	Facility		$421.82	$645.15	$928.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $522.76 / $810.17 / $1,158.51	Professional		$522.76	$810.17	$1,158.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,994.57 / $1,994.57 / $1,994.57	Facility		$1,994.57	$1,994.57	$1,994.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $718.35 / $916.31 / $1,231.53	Professional		$718.35	$916.31	$1,231.53
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.16 / $778.32 / $1,216.43	Professional		$530.16	$778.32	$1,216.43