Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.36 / $2,747.00 / $13,320.00	Facility		$755.36	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $458.75 / $1,468.38	Professional		$287.08	$458.75	$1,468.38
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 $449.87 / $767.87 / $1,260.69	Professional		$449.87	$767.87	$1,260.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.15 / $823.90 / $1,138.25	Professional		$654.15	$823.90	$1,138.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.52 / $683.01 / $1,066.97	Facility		$434.52	$683.01	$1,066.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.14 / $743.47 / $1,058.89	Professional		$512.14	$743.47	$1,058.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $545.27 / $860.82 / $938.00	Facility		$545.27	$860.82	$938.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.52 / $683.01 / $1,291.21	Facility		$434.52	$683.01	$1,291.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.95 / $842.82 / $1,205.30	Professional		$572.95	$842.82	$1,205.30
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 $572.79 / $871.70 / $1,296.81	Professional		$572.79	$871.70	$1,296.81
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 $667.00 / $965.17 / $1,459.80	Professional		$667.00	$965.17	$1,459.80