Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.54 / $7,920.26 / $30,593.00	Facility		$780.54	$7,920.26	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $538.62 / $1,603.96	Professional		$316.33	$538.62	$1,603.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,400.80	Facility		$1,664.70	$1,664.70	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.68 / $823.98 / $1,453.26	Professional		$436.68	$823.98	$1,453.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.94 / $931.43 / $1,333.24	Professional		$673.94	$931.43	$1,333.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.12 / $790.99 / $1,228.69	Facility		$451.12	$790.99	$1,228.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.26 / $783.27 / $1,307.16	Professional		$549.26	$783.27	$1,307.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.16 / $892.06 / $1,090.76	Facility		$559.16	$892.06	$1,090.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.88 / $865.24 / $1,441.92	Facility		$467.88	$865.24	$1,441.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.00 / $940.19 / $1,425.16	Professional		$649.00	$940.19	$1,425.16
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 $668.76 / $989.19 / $1,482.07	Professional		$668.76	$989.19	$1,482.07
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 $714.31 / $1,012.13 / $1,814.66	Professional		$714.31	$1,012.13	$1,814.66