Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.25 / $5,770.00 / $13,320.00	Facility		$784.25	$5,770.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.13 / $533.19 / $1,864.56	Professional		$317.13	$533.19	$1,864.56
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 $438.30 / $832.03 / $1,401.60	Professional		$438.30	$832.03	$1,401.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.43 / $931.33 / $1,271.00	Professional		$676.43	$931.33	$1,271.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.11 / $829.29 / $1,245.25	Facility		$467.11	$829.29	$1,245.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.88 / $836.34 / $1,267.18	Professional		$575.88	$836.34	$1,267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.90 / $955.42 / $1,048.55	Facility		$601.90	$955.42	$1,048.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.96 / $832.68 / $1,389.33	Facility		$475.96	$832.68	$1,389.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.54 / $965.04 / $1,365.03	Professional		$666.54	$965.04	$1,365.03
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 $676.48 / $972.30 / $1,439.29	Professional		$676.48	$972.30	$1,439.29
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 $727.00 / $1,014.81 / $1,625.48	Professional		$727.00	$1,014.81	$1,625.48