Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $13,182.57	Facility		$776.25	$1,148.15	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,148.15	Professional		$338.84	$512.86	$1,148.15
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 $457.09 / $776.25 / $1,348.96	Professional		$457.09	$776.25	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,230.27	Professional		$616.60	$851.14	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $1,202.26	Facility		$426.58	$724.44	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,174.90	Professional		$575.44	$851.14	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,023.29	Facility		$707.95	$1,000.00	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,122.02	Facility		$426.58	$707.95	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,288.25	Professional		$79.43	$831.76	$1,288.25
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 $645.65 / $954.99 / $1,258.93	Professional		$645.65	$954.99	$1,258.93
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 / $794.33 / $1,258.93	Professional		$512.86	$794.33	$1,258.93