Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.31 / $2,747.00 / $13,320.00	Facility		$804.31	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $510.04 / $1,363.38	Professional		$330.25	$510.04	$1,363.38
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 $521.62 / $898.39 / $1,483.01	Professional		$521.62	$898.39	$1,483.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.72 / $973.99 / $1,345.09	Professional		$774.72	$973.99	$1,345.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $510.04 / $800.71 / $1,228.83	Facility		$510.04	$800.71	$1,228.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $598.29 / $880.64 / $1,254.24	Professional		$598.29	$880.64	$1,254.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $634.36 / $1,018.96 / $1,100.81	Facility		$634.36	$1,018.96	$1,100.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.04 / $800.71 / $1,482.81	Facility		$510.04	$800.71	$1,482.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.85 / $991.19 / $1,412.98	Professional		$668.85	$991.19	$1,412.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $673.99 / $1,017.83 / $1,525.44	Professional		$673.99	$1,017.83	$1,525.44
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 $757.43 / $1,088.81 / $1,675.22	Professional		$757.43	$1,088.81	$1,675.22