Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.01 / $7,920.26 / $30,593.00	Facility		$586.01	$7,920.26	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.38 / $411.13 / $1,264.97	Professional		$250.38	$411.13	$1,264.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.22 / $501.22 / $1,664.70	Facility		$501.22	$501.22	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.68 / $640.57 / $1,163.47	Professional		$336.68	$640.57	$1,163.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.88 / $702.47 / $1,059.05	Professional		$507.88	$702.47	$1,059.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $353.37 / $624.99 / $960.11	Facility		$353.37	$624.99	$960.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $429.64 / $624.08 / $1,033.54	Professional		$429.64	$624.08	$1,033.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.60 / $720.92 / $877.03	Facility		$446.60	$720.92	$877.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.37 / $645.15 / $1,123.25	Facility		$353.37	$645.15	$1,123.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.59 / $717.62 / $1,124.61	Professional		$489.59	$717.62	$1,124.61
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 $490.99 / $747.58 / $1,151.92	Professional		$490.99	$747.58	$1,151.92
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 $553.86 / $777.94 / $1,356.11	Professional		$553.86	$777.94	$1,356.11