Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.81 / $10,180.24 / $42,921.00	Facility		$890.81	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.98 / $553.74 / $1,727.09	Professional		$376.98	$553.74	$1,727.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,655.87	Facility		$4,375.60	$4,375.60	$4,655.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $811.74 / $1,147.06	Professional		$430.00	$811.74	$1,147.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.46 / $844.92 / $1,031.52	Professional		$643.46	$844.92	$1,031.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.91 / $787.71 / $1,209.76	Facility		$451.91	$787.71	$1,209.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $643.66 / $747.50 / $1,184.70	Professional		$643.66	$747.50	$1,184.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.30 / $783.85 / $834.15	Facility		$584.30	$783.85	$834.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.85 / $929.77 / $1,389.51	Facility		$507.85	$929.77	$1,389.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.69 / $880.38 / $1,147.06	Professional		$684.69	$880.38	$1,147.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$21,335.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $736.19 / $941.28 / $1,242.18	Professional		$736.19	$941.28	$1,242.18
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 $601.79 / $826.01 / $1,249.33	Professional		$601.79	$826.01	$1,249.33