Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.12 / $7,080.02 / $17,464.75	Facility		$763.12	$7,080.02	$17,464.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.59 / $660.92 / $1,987.00	Professional		$417.59	$660.92	$1,987.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.12 / $869.38 / $1,324.15	Professional		$531.12	$869.38	$1,324.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.31 / $971.20 / $1,163.98	Professional		$828.31	$971.20	$1,163.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $620.42 / $861.30 / $1,220.86	Facility		$620.42	$861.30	$1,220.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $799.18 / $1,366.32	Professional		$729.05	$799.18	$1,366.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $622.58 / $860.95 / $908.52	Facility		$622.58	$860.95	$908.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.42 / $924.15 / $1,220.86	Facility		$620.42	$924.15	$1,220.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $145.57 / $145.57 / $145.57	Facility	AS	$145.57	$145.57	$145.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $796.20 / $907.21 / $1,241.85	Professional		$796.20	$907.21	$1,241.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $826.60 / $1,058.35 / $1,422.44	Professional		$826.60	$1,058.35	$1,422.44
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 $631.60 / $884.80 / $1,390.04	Professional		$631.60	$884.80	$1,390.04