Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.26 / $7,920.26 / $20,400.00	Facility		$943.26	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $564.07 / $1,365.15	Professional		$373.27	$564.07	$1,365.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $804.94 / $1,228.47	Professional		$473.01	$804.94	$1,228.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.04 / $949.81 / $1,139.50	Professional		$809.04	$949.81	$1,139.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $564.07 / $738.72 / $1,020.85	Facility		$564.07	$738.72	$1,020.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $742.11 / $1,144.96	Professional		$634.79	$742.11	$1,144.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.71 / $790.60 / $871.00	Facility		$571.71	$790.60	$871.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.89 / $833.01 / $5,949.00	Facility		$566.89	$833.01	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.32 / $858.16 / $1,184.57	Professional		$709.32	$858.16	$1,184.57
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 $782.07 / $1,014.65 / $1,363.70	Professional		$782.07	$1,014.65	$1,363.70
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 $569.28 / $830.20 / $1,278.98	Professional		$569.28	$830.20	$1,278.98