Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.08 / $5,649.00 / $15,341.00	Facility		$926.08	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.37 / $584.92 / $1,461.17	Professional		$363.37	$584.92	$1,461.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,310.00	Facility		$1,089.75	$1,089.75	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.34 / $794.16 / $1,166.39	Professional		$429.34	$794.16	$1,166.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.94 / $890.20 / $1,102.14	Professional		$677.94	$890.20	$1,102.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.01 / $744.51 / $1,078.32	Facility		$474.01	$744.51	$1,078.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $601.79 / $732.48 / $1,262.28	Professional		$601.79	$732.48	$1,262.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $757.77 / $860.95	Facility		$513.00	$757.77	$860.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.51 / $815.16 / $1,480.53	Facility		$503.51	$815.16	$1,480.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $672.04 / $914.23 / $1,183.05	Professional		$672.04	$914.23	$1,183.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $783.55 / $1,000.60 / $1,207.11	Professional		$783.55	$1,000.60	$1,207.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,517.00 / $7,385.00	Facility		$1,472.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.03 / $814.05 / $1,319.85	Professional		$579.03	$814.05	$1,319.85