Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.21 / $4,283.46 / $8,728.00	Facility		$144.21	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $492.69 / $1,154.49	Professional		$60.31	$492.69	$1,154.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.41 / $953.41 / $1,664.70	Facility		$953.41	$953.41	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.21 / $441.11 / $1,761.54	Professional		$101.21	$441.11	$1,761.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $182.58 / $1,546.04	Professional		$125.55	$182.58	$1,546.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $582.03 / $1,564.70	Facility		$98.31	$582.03	$1,564.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $778.70 / $1,485.70	Professional		$105.68	$778.70	$1,485.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $1,169.83 / $1,287.07	Facility		$128.63	$1,169.83	$1,287.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $648.12 / $1,699.04	Facility		$98.31	$648.12	$1,699.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $805.20 / $1,749.54	Professional		$125.44	$805.20	$1,749.54
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 $125.51 / $1,112.81 / $1,818.98	Professional		$125.51	$1,112.81	$1,818.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,278.78 / $2,051.29	Professional		$910.86	$1,278.78	$2,051.29