Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.46 / $2,747.00 / $13,320.00	Facility		$714.46	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.76 / $427.97 / $1,119.35	Professional		$269.76	$427.97	$1,119.35
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 $428.12 / $743.55 / $1,258.28	Professional		$428.12	$743.55	$1,258.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.61 / $789.11 / $1,136.08	Professional		$625.61	$789.11	$1,136.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.77 / $678.06 / $1,051.38	Facility		$410.77	$678.06	$1,051.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $740.27 / $1,054.33	Professional		$483.14	$740.27	$1,054.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $533.76 / $855.73 / $931.30	Facility		$533.76	$855.73	$931.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.77 / $678.06 / $1,274.55	Facility		$410.77	$678.06	$1,274.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.16 / $809.48 / $1,195.25	Professional		$540.16	$809.48	$1,195.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $547.61 / $840.13 / $1,285.56	Professional		$547.61	$840.13	$1,285.56
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 $651.34 / $956.58 / $1,511.48	Professional		$651.34	$956.58	$1,511.48