Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,905.46 / $11,220.18	Facility		$741.31	$1,905.46	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,122.02	Professional		$302.00	$489.78	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,288.25	Professional		$407.38	$724.44	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,230.27	Professional		$602.56	$851.14	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,230.27	Facility		$416.87	$660.69	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,148.15	Professional		$524.81	$758.58	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,000.00	Facility		$660.69	$954.99	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,047.13	Facility		$380.19	$630.96	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,230.27	Professional		$79.43	$758.58	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,230.27	Professional		$602.56	$891.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,202.26	Professional		$467.74	$741.31	$1,202.26