Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.48 / $2,747.00 / $8,728.00	Facility		$891.48	$2,747.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.41 / $563.75 / $1,709.42	Professional		$394.41	$563.75	$1,709.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.41 / $918.31 / $1,447.02	Professional		$547.41	$918.31	$1,447.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.42 / $1,014.31 / $1,300.46	Professional		$838.42	$1,014.31	$1,300.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.75 / $846.86 / $1,249.98	Facility		$563.75	$846.86	$1,249.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $668.74 / $880.44 / $1,297.57	Professional		$668.74	$880.44	$1,297.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.63 / $974.85 / $1,082.72	Facility		$649.63	$974.85	$1,082.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $563.75 / $857.96 / $1,386.69	Facility		$563.75	$857.96	$1,386.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $747.12 / $1,013.15 / $1,412.82	Professional		$747.12	$1,013.15	$1,412.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $743.57 / $1,046.20 / $1,488.89	Professional		$743.57	$1,046.20	$1,488.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.46 / $1,062.59 / $1,637.01	Professional		$713.46	$1,062.59	$1,637.01