Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.79 / $5,649.00 / $15,341.00	Facility		$315.79	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $543.40 / $1,120.69	Professional		$132.80	$543.40	$1,120.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,901.32 / $2,901.32 / $4,375.60	Facility		$2,901.32	$2,901.32	$4,375.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $422.63 / $1,730.54	Professional		$201.82	$422.63	$1,730.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $359.66 / $1,524.43	Professional		$244.80	$359.66	$1,524.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.29 / $579.50 / $1,882.76	Facility		$193.29	$579.50	$1,882.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.63 / $972.97 / $1,657.78	Professional		$219.63	$972.97	$1,657.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.50 / $1,200.32 / $1,342.32	Facility		$289.50	$1,200.32	$1,342.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.80 / $782.00 / $2,050.19	Facility		$196.80	$782.00	$2,050.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.04 / $809.17 / $1,727.30	Professional		$247.04	$809.17	$1,727.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $13,092.93	Facility		$8,763.99	$12,103.13	$13,092.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $247.95 / $1,163.21 / $1,800.49	Professional		$247.95	$1,163.21	$1,800.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.35 / $1,531.20 / $2,049.08	Professional		$1,012.35	$1,531.20	$2,049.08