Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $13,182.57	Facility		$1,023.29	$1,380.38	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,659.59	Professional		$426.58	$602.56	$1,659.59
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 / $912.01 / $1,445.44	Professional		$549.54	$912.01	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,412.54	Professional		$933.25	$1,202.26	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,288.25	Facility		$512.86	$741.31	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,445.44	Professional		$660.69	$977.24	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,096.48	Facility		$691.83	$977.24	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,148.15	Facility		$512.86	$741.31	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,412.54	Professional		$79.43	$977.24	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,513.56	Professional		$741.31	$1,096.48	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,412.54	Professional		$630.96	$977.24	$1,412.54