Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $7,943.28	Facility		$758.58	$1,258.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,348.96	Professional		$446.68	$549.54	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,365.16	Facility		$2,398.83	$2,398.83	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $1,348.96	Professional		$426.58	$891.25	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,288.25	Professional		$776.25	$1,047.13	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,174.90	Facility		$501.19	$676.08	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,318.26	Professional		$741.31	$933.25	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $1,023.29	Facility		$776.25	$933.25	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $1,174.90	Facility		$489.78	$724.44	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,348.96	Professional		$79.43	$977.24	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,964.78	Facility		$6,606.93	$8,912.51	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,380.38	Professional		$912.01	$1,071.52	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,748.98 / $25,118.86	Facility		$1,995.26	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,380.38	Professional		$588.84	$933.25	$1,380.38