Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,704.00 / $8,728.00	Facility		$988.00	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $672.20 / $1,617.24	Professional		$376.07	$672.20	$1,617.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,400.80	Facility		$1,937.44	$1,937.44	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.01 / $903.79 / $1,277.07	Professional		$434.01	$903.79	$1,277.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.86 / $965.06 / $1,222.86	Professional		$742.86	$965.06	$1,222.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $456.27 / $773.18 / $1,204.48	Facility		$456.27	$773.18	$1,204.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $678.71 / $776.53 / $1,342.83	Professional		$678.71	$776.53	$1,342.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $545.05 / $838.60 / $915.89	Facility		$545.05	$838.60	$915.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.46 / $924.80 / $1,575.01	Facility		$475.46	$924.80	$1,575.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $730.17 / $989.04 / $1,271.27	Professional		$730.17	$989.04	$1,271.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $844.44 / $1,066.94 / $1,300.92	Professional		$844.44	$1,066.94	$1,300.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.72 / $893.89 / $1,422.42	Professional		$625.72	$893.89	$1,422.42