Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.17 / $2,747.00 / $11,266.00	Facility		$727.17	$2,747.00	$11,266.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.66 / $459.82 / $1,228.58	Professional		$294.66	$459.82	$1,228.58
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 $466.34 / $812.17 / $1,339.47	Professional		$466.34	$812.17	$1,339.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.62 / $871.64 / $1,209.38	Professional		$691.62	$871.64	$1,209.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $459.82 / $724.06 / $1,101.35	Facility		$459.82	$724.06	$1,101.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $536.50 / $789.90 / $1,125.02	Professional		$536.50	$789.90	$1,125.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.45 / $913.42 / $994.28	Facility		$572.45	$913.42	$994.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.82 / $724.06 / $1,322.68	Facility		$459.82	$724.06	$1,322.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.04 / $890.19 / $1,283.66	Professional		$605.04	$890.19	$1,283.66
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 $604.21 / $912.42 / $1,376.45	Professional		$604.21	$912.42	$1,376.45
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 $678.01 / $968.33 / $1,526.03	Professional		$678.01	$968.33	$1,526.03