Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.68 / $7,920.26 / $20,400.00	Facility		$948.68	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.71 / $603.10 / $1,370.78	Professional		$395.71	$603.10	$1,370.78
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 $539.79 / $848.23 / $1,263.64	Professional		$539.79	$848.23	$1,263.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $800.11 / $943.95 / $1,124.35	Professional		$800.11	$943.95	$1,124.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $603.10 / $826.25 / $1,140.70	Facility		$603.10	$826.25	$1,140.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.70 / $775.92 / $1,207.32	Professional		$691.70	$775.92	$1,207.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $597.87 / $826.78 / $860.95	Facility		$597.87	$826.78	$860.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.10 / $883.21 / $2,748.00	Facility		$603.10	$883.21	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.43 / $880.44 / $1,180.02	Professional		$770.43	$880.44	$1,180.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.79 / $1,002.94 / $1,346.11	Professional		$776.79	$1,002.94	$1,346.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.01 / $892.19 / $1,308.48	Professional		$617.01	$892.19	$1,308.48