Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $13,182.57	Facility		$977.24	$1,258.93	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,230.27	Professional		$457.09	$575.44	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,288.25	Professional		$549.54	$794.33	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $891.25 / $1,000.00	Professional		$436.52	$891.25	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,380.38	Facility		$501.19	$758.58	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,230.27	Professional		$676.08	$812.83	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $977.24	Facility		$707.95	$933.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $1,230.27	Facility		$489.78	$758.58	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $870.96 / $1,230.27	Professional		$79.43	$870.96	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,258.93	Professional		$891.25	$1,047.13	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,318.26	Professional		$616.60	$912.01	$1,318.26