Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $9,549.93 / $17,378.01	Facility		$831.76	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $891.25	Professional		$407.38	$588.84	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,122.02 / $1,659.59	Professional		$489.78	$1,122.02	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,348.96	Professional		$794.33	$1,000.00	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $831.76 / $1,584.89	Facility		$457.09	$831.76	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $9,332.54	Professional		$407.38	$676.08	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $794.33	Facility		$660.69	$776.25	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $1,412.54	Facility		$416.87	$758.58	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $1,513.56	Professional		$70.79	$95.50	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,054.61 / $38,904.51	Facility		$13,489.63	$19,054.61	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,548.82	Professional		$1,047.13	$1,230.27	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $39,810.72	Facility		$2,238.72	$16,218.10	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,584.89	Professional		$660.69	$1,047.13	$1,584.89