Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.35 / $5,649.00 / $15,341.00	Facility		$911.35	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.55 / $584.91 / $1,671.12	Professional		$380.55	$584.91	$1,671.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $5,181.47	Facility		$1,937.44	$1,937.44	$5,181.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.08 / $834.51 / $1,213.56	Professional		$471.08	$834.51	$1,213.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.10 / $856.26 / $1,046.99	Professional		$652.10	$856.26	$1,046.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.43 / $782.46 / $1,206.98	Facility		$455.43	$782.46	$1,206.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.45 / $772.20 / $1,225.95	Professional		$660.45	$772.20	$1,225.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $794.38 / $861.62	Facility		$623.07	$794.38	$861.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $498.17 / $913.83 / $1,437.90	Facility		$498.17	$913.83	$1,437.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.65 / $915.68 / $1,213.56	Professional		$699.65	$915.68	$1,213.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $768.79 / $974.06 / $1,309.15	Professional		$768.79	$974.06	$1,309.15
United Facility/Professional Facility Modifier Low / Median / High Price $513.59 / $18,628.00 / $24,872.00	Facility		$513.59	$18,628.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.48 / $886.21 / $1,304.66	Professional		$613.48	$886.21	$1,304.66