Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.20 / $10,730.00 / $30,593.00	Facility		$605.20	$10,730.00	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $360.93 / $1,325.31	Professional		$271.23	$360.93	$1,325.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,459.71	Facility		$1,664.70	$1,664.70	$5,459.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $565.88 / $801.45	Professional		$320.00	$565.88	$801.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.92 / $575.03 / $689.67	Professional		$437.92	$575.03	$689.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $565.09 / $846.00	Facility		$313.61	$565.09	$846.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.85 / $552.41 / $801.54	Professional		$440.85	$552.41	$801.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.66 / $533.46 / $600.64	Facility		$432.66	$533.46	$600.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $362.26 / $644.80 / $939.02	Facility		$362.26	$644.80	$939.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.63 / $613.09 / $782.85	Professional		$474.63	$613.09	$782.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $28,321.84	Facility		$8,763.99	$12,680.11	$28,321.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.87 / $636.11 / $854.94	Professional		$501.87	$636.11	$854.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $20,708.00 / $26,255.00	Facility		$2,800.00	$20,708.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.34 / $624.48 / $867.03	Professional		$415.34	$624.48	$867.03