Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.09 / $2,747.00 / $13,320.00	Facility		$895.09	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.04 / $534.88 / $1,454.76	Professional		$374.04	$534.88	$1,454.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.16 / $884.66 / $1,441.08	Professional		$527.16	$884.66	$1,441.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.05 / $1,044.19 / $1,345.11	Professional		$843.05	$1,044.19	$1,345.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $534.88 / $790.41 / $1,202.84	Facility		$534.88	$790.41	$1,202.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.46 / $833.46 / $1,302.88	Professional		$630.46	$833.46	$1,302.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $577.66 / $943.86 / $1,104.83	Facility		$577.66	$943.86	$1,104.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.88 / $842.00 / $1,408.14	Facility		$534.88	$842.00	$1,408.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.47 / $1,006.26 / $1,408.14	Professional		$707.47	$1,006.26	$1,408.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $745.42 / $1,047.98 / $1,480.11	Professional		$745.42	$1,047.98	$1,480.11
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 $697.76 / $996.81 / $1,693.50	Professional		$697.76	$996.81	$1,693.50