Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.35 / $11,377.08 / $15,978.56	Facility		$945.35	$11,377.08	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.92 / $5,471.06 / $10,873.05	Professional		$473.92	$5,471.06	$10,873.05
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 $717.72 / $5,007.66 / $16,477.50	Professional		$717.72	$5,007.66	$16,477.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.72 / $5,096.99 / $13,532.51	Professional		$969.72	$5,096.99	$13,532.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $659.41 / $5,096.99 / $17,614.25	Facility		$659.41	$5,096.99	$17,614.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $806.65 / $7,773.35 / $13,313.42	Professional		$806.65	$7,773.35	$13,313.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $942.02 / $10,557.51 / $13,567.50	Facility		$942.02	$10,557.51	$13,567.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.41 / $9,344.31 / $14,841.70	Facility		$659.41	$9,344.31	$14,841.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.63 / $7,974.24 / $15,722.96	Professional		$894.63	$7,974.24	$15,722.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $914.78 / $1,628.06 / $17,577.04	Professional		$914.78	$1,628.06	$17,577.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,605.35 / $13,729.98 / $18,531.74	Professional		$9,605.35	$13,729.98	$18,531.74