Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.50 / $4,962.67 / $15,341.00	Facility		$863.50	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.99 / $602.29 / $1,581.08	Professional		$333.99	$602.29	$1,581.08
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 $432.43 / $693.41 / $1,154.39	Professional		$432.43	$693.41	$1,154.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.54 / $880.82 / $1,055.72	Professional		$459.54	$880.82	$1,055.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.86 / $705.64 / $1,083.98	Facility		$426.86	$705.64	$1,083.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $613.20 / $732.24 / $1,174.66	Professional		$613.20	$732.24	$1,174.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.50 / $833.16 / $905.84	Facility		$543.50	$833.16	$905.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.87 / $837.31 / $3,065.00	Facility		$479.87	$837.31	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $620.95 / $836.93 / $1,130.17	Professional		$620.95	$836.93	$1,130.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.28 / $865.57 / $1,184.57	Professional		$707.28	$865.57	$1,184.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $8,565.94	Facility		$1,689.00	$5,517.00	$8,565.94
United Facility/Professional Professional Modifier Low / Median / High Price $560.55 / $819.84 / $1,206.07	Professional		$560.55	$819.84	$1,206.07