Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.70 / $7,920.26 / $20,400.00	Facility		$905.70	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.30 / $525.82 / $1,312.06	Professional		$347.30	$525.82	$1,312.06
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 $439.05 / $777.43 / $1,189.36	Professional		$439.05	$777.43	$1,189.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.10 / $916.05 / $1,099.00	Professional		$779.10	$916.05	$1,099.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $518.27 / $690.60 / $938.40	Facility		$518.27	$690.60	$938.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $716.72 / $1,102.17	Professional		$612.00	$716.72	$1,102.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $536.05 / $755.87 / $836.16	Facility		$536.05	$755.87	$836.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.79 / $776.93 / $5,217.00	Facility		$531.79	$776.93	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $669.27 / $825.08 / $1,136.52	Professional		$669.27	$825.08	$1,136.52
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 $756.49 / $974.06 / $1,309.15	Professional		$756.49	$974.06	$1,309.15
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 $547.52 / $787.44 / $1,248.80	Professional		$547.52	$787.44	$1,248.80