Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.13 / $1,758.00 / $13,320.00	Facility		$698.13	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $458.77 / $1,186.06	Professional		$294.56	$458.77	$1,186.06
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 $456.52 / $793.68 / $1,305.91	Professional		$456.52	$793.68	$1,305.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.78 / $835.89 / $1,179.08	Professional		$663.78	$835.89	$1,179.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.72 / $711.06 / $1,119.69	Facility		$440.72	$711.06	$1,119.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $522.00 / $769.63 / $1,096.13	Professional		$522.00	$769.63	$1,096.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.61 / $890.82 / $972.40	Facility		$565.61	$890.82	$972.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.72 / $714.59 / $1,354.15	Facility		$440.72	$714.59	$1,354.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $583.74 / $861.12 / $1,252.24	Professional		$583.74	$861.12	$1,252.24
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 $584.42 / $886.86 / $1,350.22	Professional		$584.42	$886.86	$1,350.22
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 $689.43 / $960.83 / $1,488.73	Professional		$689.43	$960.83	$1,488.73