Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.67 / $4,962.67 / $15,341.00	Facility		$836.67	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.94 / $417.00 / $1,208.08	Professional		$284.94	$417.00	$1,208.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $671.01 / $1,036.38	Professional		$352.79	$671.01	$1,036.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.15 / $848.90 / $1,018.44	Professional		$712.15	$848.90	$1,018.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $623.50 / $826.60	Facility		$400.16	$623.50	$826.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.07 / $611.11 / $1,000.00	Professional		$483.07	$611.11	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.20 / $627.00 / $763.80	Facility		$415.20	$627.00	$763.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $673.44 / $2,919.00	Facility		$417.00	$673.44	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.23 / $734.50 / $1,024.52	Professional		$542.23	$734.50	$1,024.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.60 / $862.53 / $1,195.85	Professional		$602.60	$862.53	$1,195.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.03 / $656.57 / $1,170.69	Professional		$460.03	$656.57	$1,170.69