Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.21 / $4,684.68 / $8,728.00	Facility		$938.21	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.90 / $571.29 / $1,357.95	Professional		$377.90	$571.29	$1,357.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.27 / $807.39 / $1,235.67	Professional		$481.27	$807.39	$1,235.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.81 / $944.96 / $1,133.68	Professional		$804.81	$944.96	$1,133.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.84 / $763.47 / $1,019.15	Facility		$555.84	$763.47	$1,019.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $643.75 / $739.20 / $1,138.85	Professional		$643.75	$739.20	$1,138.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.10 / $794.62 / $866.31	Facility		$575.10	$794.62	$866.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.84 / $835.04 / $2,450.00	Facility		$555.84	$835.04	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $714.89 / $858.56 / $1,178.09	Professional		$714.89	$858.56	$1,178.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $784.17 / $1,009.19 / $1,356.36	Professional		$784.17	$1,009.19	$1,356.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.40 / $830.20 / $1,299.47	Professional		$578.40	$830.20	$1,299.47