Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,370.32 / $19,498.45	Facility		$851.14	$5,370.32	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $1,047.13	Professional		$389.05	$467.74	$1,047.13
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 $446.68 / $758.58 / $1,174.90	Professional		$446.68	$758.58	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,000.00	Professional		$645.65	$851.14	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,348.96	Facility		$426.58	$707.95	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,071.52	Professional		$660.69	$794.33	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $851.14	Facility		$707.95	$831.76	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $977.24	Facility		$426.58	$676.08	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,122.02	Professional		$79.43	$812.83	$1,122.02
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 $741.31 / $870.96 / $1,258.93	Professional		$741.31	$870.96	$1,258.93
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 $549.54 / $831.76 / $1,148.15	Professional		$549.54	$831.76	$1,148.15