Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.95 / $4,283.46 / $8,728.00	Facility		$697.95	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $487.96 / $1,498.41	Professional		$305.57	$487.96	$1,498.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $556.34 / $556.34 / $1,664.70	Facility		$556.34	$556.34	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.02 / $720.43 / $1,256.09	Professional		$388.02	$720.43	$1,256.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.94 / $831.95 / $1,153.33	Professional		$597.94	$831.95	$1,153.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.10 / $699.69 / $1,049.10	Facility		$395.10	$699.69	$1,049.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $476.76 / $669.32 / $1,122.48	Professional		$476.76	$669.32	$1,122.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.50 / $773.09 / $945.37	Facility		$478.50	$773.09	$945.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.10 / $720.80 / $1,215.93	Facility		$395.10	$720.80	$1,215.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.84 / $834.20 / $1,228.50	Professional		$577.84	$834.20	$1,228.50
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 $597.12 / $871.50 / $1,253.41	Professional		$597.12	$871.50	$1,253.41
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 $604.50 / $877.04 / $1,468.01	Professional		$604.50	$877.04	$1,468.01