Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.52 / $7,920.26 / $20,400.00	Facility		$960.52	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.44 / $658.94 / $1,321.43	Professional		$418.44	$658.94	$1,321.43
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 $527.41 / $861.26 / $1,327.54	Professional		$527.41	$861.26	$1,327.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.65 / $917.91 / $1,101.23	Professional		$783.65	$917.91	$1,101.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.39 / $816.82 / $1,129.14	Facility		$634.39	$816.82	$1,129.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $693.96 / $796.62 / $1,102.17	Professional		$693.96	$796.62	$1,102.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $592.05 / $824.91 / $947.92	Facility		$592.05	$824.91	$947.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.45 / $932.53 / $5,217.00	Facility		$657.45	$932.53	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.04 / $900.27 / $1,238.90	Professional		$770.04	$900.27	$1,238.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $757.72 / $979.61 / $1,327.26	Professional		$757.72	$979.61	$1,327.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.64 / $954.09 / $1,363.21	Professional		$636.64	$954.09	$1,363.21