Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $13,803.84	Facility		$912.01	$1,412.54	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,479.11	Professional		$478.63	$691.83	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,548.82	Professional		$549.54	$870.96	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,513.56	Professional		$645.65	$954.99	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $1,445.44	Facility		$501.19	$812.83	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,445.44	Professional		$691.83	$977.24	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,258.93	Facility		$831.76	$1,148.15	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $1,412.54	Facility		$467.74	$794.33	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,445.44	Professional		$79.43	$977.24	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,584.89	Professional		$870.96	$1,174.90	$1,584.89
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 $630.96 / $977.24 / $1,548.82	Professional		$630.96	$977.24	$1,548.82