Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.77 / $1,333.93 / $13,746.00	Facility		$804.77	$1,333.93	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.18 / $484.78 / $1,066.73	Professional		$301.18	$484.78	$1,066.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.13 / $805.64 / $1,295.17	Professional		$463.13	$805.64	$1,295.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.20 / $868.89 / $1,169.38	Professional		$691.20	$868.89	$1,169.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.52 / $705.51 / $1,087.02	Facility		$456.52	$705.51	$1,087.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.04 / $765.35 / $1,090.05	Professional		$544.04	$765.35	$1,090.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.78 / $887.93 / $961.45	Facility		$558.78	$887.93	$961.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.61 / $718.74 / $1,320.83	Facility		$462.61	$718.74	$1,320.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.46 / $881.02 / $1,241.49	Professional		$608.46	$881.02	$1,241.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $611.20 / $902.58 / $1,342.72	Professional		$611.20	$902.58	$1,342.72
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 $653.29 / $959.11 / $1,478.37	Professional		$653.29	$959.11	$1,478.37