Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.13 / $1,924.00 / $13,746.00	Facility		$562.13	$1,924.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.94 / $430.71 / $1,116.10	Professional		$277.94	$430.71	$1,116.10
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 $423.44 / $718.64 / $1,139.15	Professional		$423.44	$718.64	$1,139.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $744.69 / $1,023.77	Professional		$593.00	$744.69	$1,023.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.41 / $631.67 / $1,001.96	Facility		$395.41	$631.67	$1,001.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $469.06 / $688.47 / $951.70	Professional		$469.06	$688.47	$951.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.44 / $821.42 / $1,048.66	Facility		$503.44	$821.42	$1,048.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.41 / $657.71 / $1,345.82	Facility		$395.41	$657.71	$1,345.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $775.20 / $1,089.52	Professional		$522.90	$775.20	$1,089.52
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 $524.98 / $786.43 / $1,177.74	Professional		$524.98	$786.43	$1,177.74
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 $625.26 / $896.56 / $1,310.13	Professional		$625.26	$896.56	$1,310.13