Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.45 / $4,962.67 / $15,341.00	Facility		$926.45	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $592.70 / $1,122.45	Professional		$369.83	$592.70	$1,122.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.80 / $832.81 / $1,218.18	Professional		$517.80	$832.81	$1,218.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.98 / $931.18 / $1,117.15	Professional		$794.98	$931.18	$1,117.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.07 / $812.00 / $1,114.69	Facility		$563.07	$812.00	$1,114.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $657.60 / $751.09 / $1,126.63	Professional		$657.60	$751.09	$1,126.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.23 / $787.92 / $872.34	Facility		$571.23	$787.92	$872.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.70 / $869.52 / $2,919.00	Facility		$592.70	$869.52	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.14 / $853.40 / $1,178.31	Professional		$742.14	$853.40	$1,178.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $774.93 / $1,016.21 / $1,342.91	Professional		$774.93	$1,016.21	$1,342.91
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 $571.04 / $837.90 / $1,290.83	Professional		$571.04	$837.90	$1,290.83