Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.04 / $2,747.00 / $13,746.00	Facility		$816.04	$2,747.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $527.50 / $1,394.81	Professional		$347.26	$527.50	$1,394.81
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 $537.74 / $900.46 / $1,402.30	Professional		$537.74	$900.46	$1,402.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.50 / $965.84 / $1,266.10	Professional		$770.50	$965.84	$1,266.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $787.90 / $1,206.56	Facility		$520.04	$787.90	$1,206.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $606.60 / $843.77 / $1,182.03	Professional		$606.60	$843.77	$1,182.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $624.72 / $967.09 / $1,048.56	Facility		$624.72	$967.09	$1,048.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $790.59 / $1,329.20	Facility		$520.04	$790.59	$1,329.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $682.09 / $971.46 / $1,353.44	Professional		$682.09	$971.46	$1,353.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $686.08 / $1,002.82 / $1,465.35	Professional		$686.08	$1,002.82	$1,465.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.16 / $1,069.58 / $1,632.64	Professional		$718.16	$1,069.58	$1,632.64