Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.39 / $4,962.67 / $15,341.00	Facility		$839.39	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $586.26 / $1,344.44	Professional		$325.16	$586.26	$1,344.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.35 / $752.70 / $1,358.68	Professional		$449.35	$752.70	$1,358.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.66 / $893.99 / $1,248.95	Professional		$549.66	$893.99	$1,248.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.43 / $759.70 / $1,239.17	Facility		$435.43	$759.70	$1,239.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $605.76 / $845.06 / $1,204.19	Professional		$605.76	$845.06	$1,204.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $603.40 / $954.34 / $1,080.04	Facility		$603.40	$954.34	$1,080.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.99 / $906.87 / $3,065.00	Facility		$480.99	$906.87	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $652.08 / $917.91 / $1,282.08	Professional		$652.08	$917.91	$1,282.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $688.22 / $987.13 / $1,404.38	Professional		$688.22	$987.13	$1,404.38
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 $641.96 / $975.64 / $1,551.42	Professional		$641.96	$975.64	$1,551.42