Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.98 / $2,747.00 / $13,320.00	Facility		$634.98	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.67 / $624.79 / $1,202.45	Professional		$385.67	$624.79	$1,202.45
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 $566.92 / $953.90 / $1,540.28	Professional		$566.92	$953.90	$1,540.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.84 / $655.45 / $900.09	Professional		$531.84	$655.45	$900.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.05 / $1,006.85 / $1,634.99	Facility		$533.05	$1,006.85	$1,634.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.90 / $906.50 / $1,213.90	Professional		$448.90	$906.50	$1,213.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $615.90 / $945.26 / $1,368.14	Facility		$615.90	$945.26	$1,368.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.60 / $1,006.85 / $1,953.02	Facility		$577.60	$1,006.85	$1,953.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.87 / $899.15 / $1,468.06	Professional		$499.87	$899.15	$1,468.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $495.75 / $808.78 / $1,431.19	Professional		$495.75	$808.78	$1,431.19
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 $928.36 / $1,271.34 / $1,899.95	Professional		$928.36	$1,271.34	$1,899.95