Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.41 / $2,747.00 / $13,320.00	Facility		$752.41	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $513.53 / $1,243.16	Professional		$297.02	$513.53	$1,243.16
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 $476.20 / $850.79 / $1,426.59	Professional		$476.20	$850.79	$1,426.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $949.01 / $1,375.79	Professional		$750.00	$949.01	$1,375.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.59 / $748.29 / $1,167.09	Facility		$455.59	$748.29	$1,167.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $546.60 / $840.42 / $1,277.04	Professional		$546.60	$840.42	$1,277.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.15 / $913.55 / $1,096.79	Facility		$578.15	$913.55	$1,096.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.59 / $748.29 / $1,405.99	Facility		$455.59	$748.29	$1,405.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.02 / $914.96 / $1,370.99	Professional		$601.02	$914.96	$1,370.99
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 $621.79 / $959.58 / $1,447.49	Professional		$621.79	$959.58	$1,447.49
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 $710.01 / $985.32 / $1,562.61	Professional		$710.01	$985.32	$1,562.61