Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.12 / $3,213.00 / $8,728.00	Facility		$359.12	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $467.97 / $985.02	Professional		$167.87	$467.97	$985.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,406.86	Facility		$1,937.44	$1,937.44	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $536.92 / $1,507.42	Professional		$275.00	$536.92	$1,507.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.02 / $511.33 / $1,376.94	Professional		$348.02	$511.33	$1,376.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.77 / $577.23 / $1,328.55	Facility		$247.77	$577.23	$1,328.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.30 / $750.60 / $1,339.95	Professional		$303.30	$750.60	$1,339.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.77 / $1,012.50 / $1,118.90	Facility		$355.77	$1,012.50	$1,118.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.51 / $709.44 / $1,499.22	Facility		$257.51	$709.44	$1,499.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.20 / $707.66 / $1,447.06	Professional		$343.20	$707.66	$1,447.06
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 $344.53 / $951.44 / $1,522.29	Professional		$344.53	$951.44	$1,522.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,336.14 / $12,786.00	Facility		$1,533.00	$8,336.14	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.62 / $1,076.60 / $1,715.61	Professional		$753.62	$1,076.60	$1,715.61