Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.47 / $4,962.67 / $15,341.00	Facility		$812.47	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.67 / $555.36 / $1,696.19	Professional		$351.67	$555.36	$1,696.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $639.88 / $639.88 / $1,664.70	Facility		$639.88	$639.88	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $813.37 / $1,413.85	Professional		$430.00	$813.37	$1,413.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.07 / $989.54 / $1,309.19	Professional		$709.07	$989.54	$1,309.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $427.59 / $798.64 / $1,186.67	Facility		$427.59	$798.64	$1,186.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.90 / $771.00 / $1,276.93	Professional		$553.90	$771.00	$1,276.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $538.08 / $876.42 / $1,069.99	Facility		$538.08	$876.42	$1,069.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.71 / $824.19 / $1,367.81	Facility		$432.71	$824.19	$1,367.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.82 / $953.51 / $1,367.81	Professional		$662.82	$953.51	$1,367.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $677.76 / $981.42 / $1,402.72	Professional		$677.76	$981.42	$1,402.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.89 / $979.12 / $1,663.69	Professional		$701.89	$979.12	$1,663.69