Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.69 / $5,380.00 / $13,634.27	Facility		$970.69	$5,380.00	$13,634.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $481.09 / $1,185.84	Professional		$292.31	$481.09	$1,185.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,406.86	Facility		$2,310.00	$2,310.00	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $781.31 / $1,276.22	Professional		$411.15	$781.31	$1,276.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.87 / $909.58 / $1,177.16	Professional		$653.87	$909.58	$1,177.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.41 / $758.30 / $1,119.29	Facility		$403.41	$758.30	$1,119.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $516.46 / $740.08 / $1,160.43	Professional		$516.46	$740.08	$1,160.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.65 / $838.17 / $960.11	Facility		$532.65	$838.17	$960.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.27 / $760.59 / $1,263.71	Facility		$406.27	$760.59	$1,263.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $621.17 / $885.28 / $1,245.83	Professional		$621.17	$885.28	$1,245.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $8,780.14 / $10,511.02	Facility		$6,607.31	$8,780.14	$10,511.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $641.48 / $908.52 / $1,307.95	Professional		$641.48	$908.52	$1,307.95
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 $636.00 / $922.55 / $1,494.60	Professional		$636.00	$922.55	$1,494.60