Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,479.11 / $13,182.57	Facility		$870.96	$1,479.11	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,412.54	Professional		$407.38	$616.60	$1,412.54
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 $524.81 / $933.25 / $1,584.89	Professional		$524.81	$933.25	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,513.56	Professional		$794.33	$1,071.52	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $812.83 / $1,380.38	Facility		$467.74	$812.83	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,412.54	Professional		$707.95	$1,000.00	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,202.26	Facility		$831.76	$1,174.90	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $812.83 / $1,258.93	Facility		$446.68	$812.83	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,513.56	Professional		$79.43	$977.24	$1,513.56
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 $794.33 / $1,096.48 / $1,513.56	Professional		$794.33	$1,096.48	$1,513.56
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 $616.60 / $977.24 / $1,513.56	Professional		$616.60	$977.24	$1,513.56