Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $7,943.28	Facility		$977.24	$1,318.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,412.54	Professional		$426.58	$524.81	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,380.38	Professional		$501.19	$870.96	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,258.93	Professional		$831.76	$1,071.52	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $1,230.27	Facility		$489.78	$741.31	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,318.26	Professional		$691.83	$851.14	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,023.29	Facility		$630.96	$891.25	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $1,071.52	Facility		$478.63	$707.95	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,348.96	Professional		$79.43	$891.25	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,412.54	Professional		$758.58	$1,023.29	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $31,622.78	Facility		$1,995.26	$10,232.93	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,318.26	Professional		$588.84	$891.25	$1,318.26