Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $13,182.57	Facility		$776.25	$1,000.00	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $933.25	Professional		$354.81	$446.68	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,096.48	Professional		$426.58	$707.95	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $933.25	Professional		$588.84	$776.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $691.83 / $1,000.00	Facility		$380.19	$691.83	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,023.29	Professional		$602.56	$741.31	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $776.25	Facility		$645.65	$758.58	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $954.99	Facility		$389.05	$691.83	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,047.13	Professional		$79.43	$741.31	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,174.90	Professional		$691.83	$812.83	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,047.13	Professional		$512.86	$758.58	$1,047.13