Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,659.59 / $13,803.84	Facility		$602.56	$1,659.59	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,737.80	Professional		$575.44	$691.83	$1,737.80
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 $645.65 / $1,148.15 / $1,698.24	Professional		$645.65	$1,148.15	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,548.82	Professional		$977.24	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,548.82	Facility		$616.60	$977.24	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,659.59	Professional		$954.99	$1,148.15	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,288.25	Facility		$954.99	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,380.38	Facility		$630.96	$1,000.00	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,698.24	Professional		$79.43	$1,174.90	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,819.70	Professional		$1,122.02	$1,288.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $31,622.78	Facility		$1,995.26	$10,232.93	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,698.24	Professional		$812.83	$1,202.26	$1,698.24