Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $7,943.28	Facility		$794.33	$1,000.00	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $1,000.00	Professional		$398.11	$478.63	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $1,202.26	Professional		$436.52	$851.14	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,000.00	Professional		$588.84	$758.58	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $741.31 / $1,348.96	Facility		$467.74	$741.31	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,047.13	Professional		$602.56	$707.95	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $794.33	Facility		$616.60	$758.58	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $1,000.00	Facility		$407.38	$602.56	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,071.52	Professional		$79.43	$758.58	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,964.78 / $13,182.57	Facility		$6,918.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,071.52	Professional		$707.95	$831.76	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,096.48	Professional		$501.19	$758.58	$1,096.48