Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.95 / $2,747.00 / $13,320.00	Facility		$722.95	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.81 / $509.97 / $1,299.60	Professional		$328.81	$509.97	$1,299.60
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 $478.68 / $826.06 / $1,328.90	Professional		$478.68	$826.06	$1,328.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.57 / $867.75 / $1,199.83	Professional		$688.57	$867.75	$1,199.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $454.52 / $714.18 / $1,154.58	Facility		$454.52	$714.18	$1,154.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $547.69 / $793.05 / $1,116.65	Professional		$547.69	$793.05	$1,116.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $906.30 / $988.25	Facility		$583.20	$906.30	$988.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.52 / $724.26 / $1,428.20	Facility		$454.52	$724.26	$1,428.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.87 / $892.40 / $1,276.63	Professional		$606.87	$892.40	$1,276.63
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 $613.53 / $919.08 / $1,356.78	Professional		$613.53	$919.08	$1,356.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.94 / $986.38 / $1,511.51	Professional		$688.94	$986.38	$1,511.51