Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,174.90 / $13,803.84	Facility		$707.95	$1,174.90	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,023.29	Professional		$309.03	$489.78	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,258.93	Professional		$407.38	$707.95	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,174.90	Professional		$588.84	$812.83	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $1,122.02	Facility		$371.54	$645.65	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,122.02	Professional		$524.81	$794.33	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $954.99	Facility		$630.96	$933.25	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,000.00	Facility		$371.54	$630.96	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,202.26	Professional		$79.43	$758.58	$1,202.26
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 $588.84 / $870.96 / $1,202.26	Professional		$588.84	$870.96	$1,202.26
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 $467.74 / $741.31 / $1,174.90	Professional		$467.74	$741.31	$1,174.90