Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.20 / $4,962.67 / $15,341.00	Facility		$1,052.20	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.48 / $654.37 / $1,520.71	Professional		$424.48	$654.37	$1,520.71
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 $554.97 / $909.49 / $1,377.66	Professional		$554.97	$909.49	$1,377.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.89 / $1,058.85 / $1,270.33	Professional		$903.89	$1,058.85	$1,270.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $654.37 / $857.43 / $1,440.22	Facility		$654.37	$857.43	$1,440.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $754.58 / $850.86 / $1,454.79	Professional		$754.58	$850.86	$1,454.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $627.42 / $871.67 / $970.83	Facility		$627.42	$871.67	$970.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.37 / $917.72 / $1,228.80	Facility		$654.37	$917.72	$1,228.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $849.28 / $982.70 / $1,330.62	Professional		$849.28	$982.70	$1,330.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,328.38 / $8,364.56 / $10,637.18	Facility		$5,328.38	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $880.11 / $1,130.94 / $1,520.00	Professional		$880.11	$1,130.94	$1,520.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.52 / $910.69 / $1,441.83	Professional		$663.52	$910.69	$1,441.83