Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $2,747.00 / $13,320.00	Facility		$620.91	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.73 / $420.62 / $1,095.60	Professional		$282.73	$420.62	$1,095.60
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 $408.40 / $696.85 / $1,130.49	Professional		$408.40	$696.85	$1,130.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.29 / $745.02 / $1,020.70	Professional		$592.29	$745.02	$1,020.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $394.24 / $617.30 / $969.71	Facility		$394.24	$617.30	$969.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $464.58 / $667.14 / $950.18	Professional		$464.58	$667.14	$950.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $488.43 / $773.65 / $841.52	Facility		$488.43	$773.65	$841.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.24 / $627.44 / $1,186.61	Facility		$394.24	$627.44	$1,186.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.53 / $763.30 / $1,086.44	Professional		$517.53	$763.30	$1,086.44
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 $520.32 / $786.20 / $1,173.11	Professional		$520.32	$786.20	$1,173.11
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 $595.35 / $857.50 / $1,287.75	Professional		$595.35	$857.50	$1,287.75