Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $13,182.57	Facility		$977.24	$1,479.11	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,412.54	Professional		$446.68	$645.65	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,698.24	Professional		$575.44	$1,023.29	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,621.81	Professional		$870.96	$1,174.90	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $870.96 / $1,479.11	Facility		$478.63	$870.96	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,584.89	Professional		$741.31	$1,096.48	$1,584.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,318.26	Facility		$891.25	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $1,348.96	Facility		$467.74	$870.96	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,096.48 / $1,659.59	Professional		$79.43	$1,096.48	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,659.59	Professional		$870.96	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,621.81	Professional		$676.08	$1,071.52	$1,621.81