Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.65 / $4,704.00 / $8,728.00	Facility		$807.65	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $515.92 / $1,234.59	Professional		$326.08	$515.92	$1,234.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $3,369.90	Facility		$1,937.44	$1,937.44	$3,369.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.03 / $708.76 / $1,019.62	Professional		$364.03	$708.76	$1,019.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.58 / $776.80 / $966.25	Professional		$591.58	$776.80	$966.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.86 / $666.88 / $994.09	Facility		$400.86	$666.88	$994.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $545.85 / $650.38 / $1,100.22	Professional		$545.85	$650.38	$1,100.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $506.79 / $700.82 / $750.40	Facility		$506.79	$700.82	$750.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.75 / $722.93 / $994.09	Facility		$437.75	$722.93	$994.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.60 / $800.08 / $1,030.17	Professional		$600.60	$800.08	$1,030.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,229.67 / $14,490.61	Facility		$8,391.79	$11,229.67	$14,490.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $681.45 / $870.22 / $1,077.38	Professional		$681.45	$870.22	$1,077.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.41 / $752.41 / $1,167.83	Professional		$518.41	$752.41	$1,167.83