Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.31 / $4,962.67 / $15,341.00	Facility		$769.31	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.18 / $499.59 / $1,428.71	Professional		$325.18	$499.59	$1,428.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,400.80	Facility		$2,310.00	$2,310.00	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $804.84 / $1,423.32	Professional		$425.00	$804.84	$1,423.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.67 / $912.66 / $1,299.83	Professional		$661.67	$912.66	$1,299.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $473.88 / $816.72 / $1,172.01	Facility		$473.88	$816.72	$1,172.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $559.86 / $777.20 / $1,286.58	Professional		$559.86	$777.20	$1,286.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $570.44 / $902.49 / $1,080.04	Facility		$570.44	$902.49	$1,080.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.88 / $819.59 / $1,384.97	Facility		$473.88	$819.59	$1,384.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $642.62 / $922.93 / $1,384.97	Professional		$642.62	$922.93	$1,384.97
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 $651.84 / $982.56 / $1,445.92	Professional		$651.84	$982.56	$1,445.92
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 $694.78 / $967.75 / $1,672.10	Professional		$694.78	$967.75	$1,672.10