Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.20 / $1,924.00 / $13,746.00	Facility		$728.20	$1,924.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.60 / $537.62 / $1,382.12	Professional		$355.60	$537.62	$1,382.12
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 $532.23 / $891.73 / $1,385.17	Professional		$532.23	$891.73	$1,385.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $959.19 / $1,250.65	Professional		$766.75	$959.19	$1,250.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $787.63 / $1,172.41	Facility		$512.80	$787.63	$1,172.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $607.84 / $849.92 / $1,171.32	Professional		$607.84	$849.92	$1,171.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.82 / $958.22 / $1,031.13	Facility		$607.82	$958.22	$1,031.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $808.34 / $1,430.98	Facility		$512.80	$808.34	$1,430.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $677.25 / $956.34 / $1,330.56	Professional		$677.25	$956.34	$1,330.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $675.84 / $982.75 / $1,437.54	Professional		$675.84	$982.75	$1,437.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $8,090.00 / $12,786.00	Facility		$1,981.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.52 / $1,048.60 / $1,572.65	Professional		$704.52	$1,048.60	$1,572.65