Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.43 / $8,927.68 / $20,400.00	Facility		$705.43	$8,927.68	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.50 / $478.26 / $1,269.86	Professional		$282.50	$478.26	$1,269.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.37 / $754.00 / $1,293.69	Professional		$404.37	$754.00	$1,293.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.11 / $843.37 / $1,178.28	Professional		$611.11	$843.37	$1,178.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.26 / $746.01 / $1,141.55	Facility		$407.26	$746.01	$1,141.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $755.74 / $1,172.55	Professional		$520.91	$755.74	$1,172.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $547.52 / $873.01 / $965.47	Facility		$547.52	$873.01	$965.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.64 / $765.43 / $1,275.58	Facility		$414.64	$765.43	$1,275.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.02 / $875.82 / $1,253.67	Professional		$601.02	$875.82	$1,253.67
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 $605.94 / $886.26 / $1,322.54	Professional		$605.94	$886.26	$1,322.54
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 $667.38 / $928.88 / $1,492.86	Professional		$667.38	$928.88	$1,492.86