Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.07 / $7,920.26 / $20,400.00	Facility		$863.07	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.11 / $524.87 / $1,257.08	Professional		$348.11	$524.87	$1,257.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.70 / $746.12 / $1,173.94	Professional		$435.70	$746.12	$1,173.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.20 / $881.81 / $1,057.92	Professional		$750.20	$881.81	$1,057.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.87 / $726.64 / $955.40	Facility		$524.87	$726.64	$955.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.35 / $690.68 / $1,061.13	Professional		$604.35	$690.68	$1,061.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $535.57 / $746.38 / $801.32	Facility		$535.57	$746.38	$801.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.79 / $775.80 / $5,217.00	Facility		$546.79	$775.80	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.30 / $803.82 / $1,086.19	Professional		$664.30	$803.82	$1,086.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,212.56 / $21,418.17 / $26,781.36	Facility		$7,212.56	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $720.81 / $933.48 / $1,249.11	Professional		$720.81	$933.48	$1,249.11
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 $545.86 / $757.52 / $1,201.33	Professional		$545.86	$757.52	$1,201.33