Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.22 / $1,758.00 / $13,320.00	Facility		$697.22	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.72 / $493.79 / $1,171.48	Professional		$326.72	$493.79	$1,171.48
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 $493.23 / $850.49 / $1,298.43	Professional		$493.23	$850.49	$1,298.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.08 / $920.53 / $1,176.68	Professional		$738.08	$920.53	$1,176.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.19 / $728.54 / $1,121.18	Facility		$490.19	$728.54	$1,121.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $578.26 / $795.69 / $1,129.93	Professional		$578.26	$795.69	$1,129.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.47 / $898.02 / $966.14	Facility		$576.47	$898.02	$966.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.19 / $741.99 / $1,383.77	Facility		$490.19	$741.99	$1,383.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.36 / $902.19 / $1,249.49	Professional		$641.36	$902.19	$1,249.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $640.64 / $927.72 / $1,347.40	Professional		$640.64	$927.72	$1,347.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.40 / $983.50 / $1,484.58	Professional		$674.40	$983.50	$1,484.58