Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.06 / $4,684.68 / $8,728.00	Facility		$751.06	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $472.94 / $982.33	Professional		$295.18	$472.94	$982.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.85 / $606.96 / $1,096.31	Professional		$387.85	$606.96	$1,096.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.45 / $801.59 / $1,019.51	Professional		$446.45	$801.59	$1,019.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $392.33 / $647.35 / $966.87	Facility		$392.33	$647.35	$966.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $656.64 / $1,083.25	Professional		$537.03	$656.64	$1,083.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $470.74 / $733.59 / $876.36	Facility		$470.74	$733.59	$876.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.03 / $691.72 / $1,114.67	Facility		$421.03	$691.72	$1,114.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $557.70 / $761.15 / $1,028.47	Professional		$557.70	$761.15	$1,028.47
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 $615.03 / $840.97 / $1,123.57	Professional		$615.03	$840.97	$1,123.57
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 $501.75 / $754.06 / $1,152.21	Professional		$501.75	$754.06	$1,152.21