Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.24 / $4,962.67 / $15,341.00	Facility		$907.24	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.97 / $632.69 / $1,642.29	Professional		$362.97	$632.69	$1,642.29
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 $443.83 / $723.53 / $1,200.69	Professional		$443.83	$723.53	$1,200.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.29 / $916.76 / $1,094.20	Professional		$478.29	$916.76	$1,094.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.19 / $727.74 / $1,158.84	Facility		$446.19	$727.74	$1,158.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $654.34 / $755.16 / $1,229.09	Professional		$654.34	$755.16	$1,229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.14 / $865.65 / $938.67	Facility		$558.14	$865.65	$938.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.49 / $872.03 / $3,065.00	Facility		$505.49	$872.03	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.54 / $863.94 / $1,171.26	Professional		$655.54	$863.94	$1,171.26
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 $743.57 / $894.71 / $1,216.16	Professional		$743.57	$894.71	$1,216.16
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 $610.92 / $850.84 / $1,232.41	Professional		$610.92	$850.84	$1,232.41