Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.06 / $7,920.26 / $20,400.00	Facility		$894.06	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.50 / $623.12 / $1,580.97	Professional		$348.50	$623.12	$1,580.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.26 / $709.98 / $1,192.46	Professional		$455.26	$709.98	$1,192.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.10 / $889.56 / $1,065.39	Professional		$464.10	$889.56	$1,065.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.78 / $715.42 / $1,113.50	Facility		$439.78	$715.42	$1,113.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.34 / $740.66 / $1,210.80	Professional		$629.34	$740.66	$1,210.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $567.90 / $834.47 / $913.21	Facility		$567.90	$834.47	$913.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.31 / $863.35 / $6,123.60	Facility		$494.31	$863.35	$6,123.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.79 / $848.25 / $1,140.65	Professional		$640.79	$848.25	$1,140.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,274.53 / $2,981.90 / $3,790.07	Facility		$2,274.53	$2,981.90	$3,790.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $732.50 / $873.99 / $1,188.00	Professional		$732.50	$873.99	$1,188.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.24 / $819.84 / $1,206.07	Professional		$587.24	$819.84	$1,206.07