Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.23 / $1,486.00 / $10,048.58	Facility		$669.23	$1,486.00	$10,048.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $471.75 / $1,532.21	Professional		$309.93	$471.75	$1,532.21
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 $468.36 / $819.64 / $1,294.34	Professional		$468.36	$819.64	$1,294.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.55 / $895.87 / $1,168.64	Professional		$711.55	$895.87	$1,168.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $466.42 / $700.89 / $1,073.66	Facility		$466.42	$700.89	$1,073.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $550.41 / $764.28 / $1,088.57	Professional		$550.41	$764.28	$1,088.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $554.76 / $853.85 / $960.78	Facility		$554.76	$853.85	$960.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $466.42 / $698.38 / $1,196.80	Facility		$466.42	$698.38	$1,196.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.50 / $885.12 / $1,236.38	Professional		$617.50	$885.12	$1,236.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $620.79 / $908.89 / $1,326.79	Professional		$620.79	$908.89	$1,326.79
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 $653.52 / $972.91 / $1,463.88	Professional		$653.52	$972.91	$1,463.88