Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.05 / $1,067.33 / $13,320.00	Facility		$595.05	$1,067.33	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $418.69 / $918.58	Professional		$275.23	$418.69	$918.58
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 $427.29 / $728.26 / $1,156.34	Professional		$427.29	$728.26	$1,156.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.38 / $784.33 / $1,044.05	Professional		$624.38	$784.33	$1,044.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.47 / $633.13 / $969.71	Facility		$416.47	$633.13	$969.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.36 / $683.17 / $972.99	Professional		$488.36	$683.17	$972.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $502.50 / $794.41 / $859.61	Facility		$502.50	$794.41	$859.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.69 / $645.98 / $1,187.54	Facility		$418.69	$645.98	$1,187.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $547.11 / $789.31 / $1,109.80	Professional		$547.11	$789.31	$1,109.80
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 $552.32 / $814.19 / $1,204.05	Professional		$552.32	$814.19	$1,204.05
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 $612.50 / $850.00 / $1,320.89	Professional		$612.50	$850.00	$1,320.89