Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.93 / $4,648.74 / $13,746.00	Facility		$809.93	$4,648.74	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $529.02 / $1,629.16	Professional		$335.38	$529.02	$1,629.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.58 / $898.46 / $1,420.35	Professional		$513.58	$898.46	$1,420.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.57 / $968.74 / $1,282.40	Professional		$770.57	$968.74	$1,282.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.57 / $764.63 / $1,187.26	Facility		$511.57	$764.63	$1,187.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.62 / $850.86 / $1,196.46	Professional		$602.62	$850.86	$1,196.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $974.46 / $1,059.27	Facility		$621.00	$974.46	$1,059.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.57 / $798.19 / $1,449.49	Facility		$511.57	$798.19	$1,449.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.10 / $968.32 / $1,364.13	Professional		$674.10	$968.32	$1,364.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $675.20 / $993.92 / $1,455.16	Professional		$675.20	$993.92	$1,455.16
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 $740.38 / $1,031.56 / $1,615.12	Professional		$740.38	$1,031.56	$1,615.12