Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $9,549.93 / $17,378.01	Facility		$851.14	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $2,511.89	Professional		$446.68	$794.33	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $3,388.44	Professional		$1,122.02	$1,348.96	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,187.76	Professional		$1,445.44	$1,819.70	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,621.81	Facility		$691.83	$912.01	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $5,888.44	Professional		$436.52	$851.14	$5,888.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $3,090.30	Facility		$575.44	$812.83	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,621.81	Facility		$645.65	$912.01	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,819.70	Professional		$79.43	$1,412.54	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $17,782.79 / $21,877.62	Facility		$13,489.63	$17,782.79	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,344.23	Professional		$1,258.93	$1,698.24	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $26,302.68	Facility		$1,995.26	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $2,041.74	Professional		$426.58	$831.76	$2,041.74