Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.62 / $1,758.00 / $13,320.00	Facility		$717.62	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $474.80 / $1,209.08	Professional		$287.54	$474.80	$1,209.08
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 $454.70 / $797.57 / $1,307.30	Professional		$454.70	$797.57	$1,307.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.39 / $854.87 / $1,180.33	Professional		$677.39	$854.87	$1,180.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.62 / $709.77 / $1,070.47	Facility		$450.62	$709.77	$1,070.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $523.04 / $770.68 / $1,097.64	Professional		$523.04	$770.68	$1,097.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.11 / $890.10 / $976.19	Facility		$556.11	$890.10	$976.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.62 / $709.77 / $1,283.81	Facility		$450.62	$709.77	$1,283.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.72 / $872.42 / $1,261.79	Professional		$588.72	$872.42	$1,261.79
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 $592.89 / $900.28 / $1,349.28	Professional		$592.89	$900.28	$1,349.28
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 $667.20 / $973.01 / $1,504.26	Professional		$667.20	$973.01	$1,504.26