Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.40 / $7,074.00 / $20,400.00	Facility		$986.40	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $553.10 / $1,196.72	Professional		$379.91	$553.10	$1,196.72
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 $517.26 / $853.98 / $1,303.58	Professional		$517.26	$853.98	$1,303.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.44 / $994.24 / $1,192.80	Professional		$847.44	$994.24	$1,192.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.66 / $809.28 / $1,075.25	Facility		$588.66	$809.28	$1,075.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.08 / $784.20 / $1,197.36	Professional		$667.08	$784.20	$1,197.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $610.95 / $836.87 / $909.19	Facility		$610.95	$836.87	$909.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.73 / $886.96 / $5,217.00	Facility		$610.73	$886.96	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.20 / $904.88 / $1,236.31	Professional		$760.20	$904.88	$1,236.31
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 $822.91 / $1,059.14 / $1,423.49	Professional		$822.91	$1,059.14	$1,423.49
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 $617.66 / $863.60 / $1,369.57	Professional		$617.66	$863.60	$1,369.57