Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.71 / $4,962.67 / $15,341.00	Facility		$732.71	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.70 / $516.34 / $1,181.35	Professional		$332.70	$516.34	$1,181.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $5,022.74	Facility		$2,310.00	$2,310.00	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.21 / $782.37 / $1,205.75	Professional		$426.21	$782.37	$1,205.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $626.62 / $856.71 / $1,099.25	Professional		$626.62	$856.71	$1,099.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $452.15 / $738.12 / $1,151.09	Facility		$452.15	$738.12	$1,151.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $541.71 / $729.30 / $1,107.52	Professional		$541.71	$729.30	$1,107.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.07 / $832.90 / $930.63	Facility		$537.07	$832.90	$930.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.28 / $775.03 / $1,296.77	Facility		$456.28	$775.03	$1,296.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.94 / $872.50 / $1,186.68	Professional		$622.94	$872.50	$1,186.68
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 $637.04 / $883.05 / $1,253.23	Professional		$637.04	$883.05	$1,253.23
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 $676.77 / $934.49 / $1,423.64	Professional		$676.77	$934.49	$1,423.64