Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $13,182.57	Facility		$616.60	$1,096.48	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,000.00	Professional		$295.12	$478.63	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,202.26	Professional		$371.54	$676.08	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,148.15	Professional		$478.63	$676.08	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $616.60 / $1,096.48	Facility		$354.81	$616.60	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,096.48	Professional		$457.09	$676.08	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $954.99	Facility		$562.34	$870.96	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $1,000.00	Facility		$316.23	$562.34	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $1,096.48	Professional		$79.43	$660.69	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $10,964.78 / $13,182.57	Facility	50	$8,128.31	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,230.27	Professional		$588.84	$851.14	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,202.26	Professional		$407.38	$691.83	$1,202.26