Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.06 / $2,747.00 / $8,728.00	Facility		$275.06	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $713.34 / $1,759.37	Professional		$135.66	$713.34	$1,759.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.86 / $435.65 / $2,110.12	Professional		$208.86	$435.65	$2,110.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.49 / $370.97 / $1,848.32	Professional		$252.49	$370.97	$1,848.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $774.84 / $2,269.50	Facility		$205.06	$774.84	$2,269.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.43 / $1,070.33 / $1,812.44	Professional		$226.43	$1,070.33	$1,812.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.58 / $1,453.35 / $1,713.19	Facility		$272.58	$1,453.35	$1,713.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.06 / $1,017.39 / $2,269.50	Facility		$205.06	$1,017.39	$2,269.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $986.65 / $2,096.64	Professional		$258.00	$986.65	$2,096.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,820.85 / $3,393.44	Facility		$2,215.19	$2,820.85	$3,393.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $1,378.04 / $2,198.16	Professional		$258.95	$1,378.04	$2,198.16
United Facility/Professional Facility Modifier Low / Median / High Price $885.82 / $5,130.00 / $7,385.00	Facility		$885.82	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.08 / $1,789.90 / $2,477.96	Professional		$1,258.08	$1,789.90	$2,477.96