Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.40 / $2,747.00 / $7,920.26	Facility		$683.40	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $468.26 / $1,143.99	Professional		$310.52	$468.26	$1,143.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.90 / $781.51 / $1,256.83	Professional		$443.90	$781.51	$1,256.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.32 / $829.66 / $1,136.77	Professional		$658.32	$829.66	$1,136.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.00 / $670.36 / $1,040.99	Facility		$430.00	$670.36	$1,040.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $507.57 / $742.40 / $1,057.35	Professional		$507.57	$742.40	$1,057.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.84 / $859.42 / $929.96	Facility		$529.84	$859.42	$929.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.00 / $672.99 / $1,246.78	Facility		$430.00	$672.99	$1,246.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $564.82 / $833.40 / $1,188.42	Professional		$564.82	$833.40	$1,188.42
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 $566.40 / $862.23 / $1,272.45	Professional		$566.40	$862.23	$1,272.45
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 $632.64 / $921.20 / $1,421.33	Professional		$632.64	$921.20	$1,421.33