Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.38 / $7,920.26 / $13,320.00	Facility		$922.38	$7,920.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.87 / $561.08 / $1,328.99	Professional		$389.87	$561.08	$1,328.99
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 $500.03 / $820.28 / $1,245.96	Professional		$500.03	$820.28	$1,245.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.25 / $917.43 / $1,100.66	Professional		$783.25	$917.43	$1,100.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.72 / $812.58 / $1,143.11	Facility		$585.72	$812.58	$1,143.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.42 / $749.92 / $1,284.00	Professional		$687.42	$749.92	$1,284.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.28 / $809.36 / $854.92	Facility		$585.28	$809.36	$854.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.72 / $869.13 / $1,143.11	Facility		$585.72	$869.13	$1,143.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $136.94 / $136.94 / $136.94	Facility	AS	$136.94	$136.94	$136.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $747.12 / $852.85 / $1,169.58	Professional		$747.12	$852.85	$1,169.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.79 / $995.92 / $1,338.52	Professional		$776.79	$995.92	$1,338.52
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 $583.20 / $838.35 / $1,331.22	Professional		$583.20	$838.35	$1,331.22