Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.82 / $7,650.85 / $20,400.00	Facility		$894.82	$7,650.85	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.38 / $546.46 / $1,654.00	Professional		$364.38	$546.46	$1,654.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.13 / $781.45 / $1,170.84	Professional		$470.13	$781.45	$1,170.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.74 / $901.62 / $1,081.68	Professional		$769.74	$901.62	$1,081.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.09 / $732.24 / $971.55	Facility		$471.09	$732.24	$971.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $708.00 / $1,091.69	Professional		$612.00	$708.00	$1,091.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $761.30 / $833.48	Facility		$521.16	$761.30	$833.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $519.14 / $795.34 / $5,217.00	Facility		$519.14	$795.34	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $683.40 / $818.72 / $1,125.82	Professional		$683.40	$818.72	$1,125.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $745.39 / $970.94 / $1,298.14	Professional		$745.39	$970.94	$1,298.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.79 / $800.40 / $1,250.95	Professional		$548.79	$800.40	$1,250.95