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 $331.88 / $602.29 / $1,539.17	Professional		$331.88	$602.29	$1,539.17
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 $440.72 / $688.83 / $1,146.56	Professional		$440.72	$688.83	$1,146.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.98 / $855.88 / $1,025.74	Professional		$445.98	$855.88	$1,025.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.58 / $685.19 / $1,050.78	Facility		$423.58	$685.19	$1,050.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $597.00 / $716.88 / $1,234.95	Professional		$597.00	$716.88	$1,234.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.72 / $808.93 / $879.71	Facility		$525.72	$808.93	$879.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.91 / $825.14 / $3,065.00	Facility		$475.91	$825.14	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $620.95 / $821.43 / $1,104.15	Professional		$620.95	$821.43	$1,104.15
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 $707.28 / $840.97 / $1,150.54	Professional		$707.28	$840.97	$1,150.54
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 $559.67 / $813.28 / $1,172.18	Professional		$559.67	$813.28	$1,172.18