Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.70 / $2,747.00 / $13,320.00	Facility		$772.70	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $541.23 / $1,390.72	Professional		$342.87	$541.23	$1,390.72
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 $508.57 / $881.12 / $1,373.20	Professional		$508.57	$881.12	$1,373.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.66 / $919.99 / $1,239.32	Professional		$734.66	$919.99	$1,239.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.23 / $832.41 / $1,190.34	Facility		$541.23	$832.41	$1,190.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $581.79 / $836.38 / $1,156.18	Professional		$581.79	$836.38	$1,156.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.59 / $946.26 / $1,052.57	Facility		$600.59	$946.26	$1,052.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.23 / $832.41 / $1,412.47	Facility		$541.23	$832.41	$1,412.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $648.27 / $941.16 / $1,333.82	Professional		$648.27	$941.16	$1,333.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $655.66 / $970.45 / $1,420.30	Professional		$655.66	$970.45	$1,420.30
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 $738.00 / $1,033.20 / $1,591.71	Professional		$738.00	$1,033.20	$1,591.71