Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.48 / $1,541.17 / $11,120.62	Facility		$633.48	$1,541.17	$11,120.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $630.02 / $1,918.00	Professional		$305.64	$630.02	$1,918.00
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 $500.94 / $849.69 / $1,681.49	Professional		$500.94	$849.69	$1,681.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.34 / $871.03 / $1,520.06	Professional		$676.34	$871.03	$1,520.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.46 / $900.67 / $1,368.09	Facility		$451.46	$900.67	$1,368.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $525.17 / $929.50 / $1,398.67	Professional		$525.17	$929.50	$1,398.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $606.72 / $1,068.30 / $1,246.20	Facility		$606.72	$1,068.30	$1,246.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.46 / $900.67 / $1,602.93	Facility		$451.46	$900.67	$1,602.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.54 / $944.70 / $1,623.29	Professional		$597.54	$944.70	$1,623.29
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 $613.16 / $1,024.23 / $1,703.47	Professional		$613.16	$1,024.23	$1,703.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.09 / $1,143.79 / $1,762.09	Professional		$811.09	$1,143.79	$1,762.09