Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.09 / $7,920.26 / $13,320.00	Facility		$891.09	$7,920.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $566.54 / $1,853.00	Professional		$372.00	$566.54	$1,853.00
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 $484.02 / $793.15 / $1,205.83	Professional		$484.02	$793.15	$1,205.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.70 / $886.34 / $1,063.34	Professional		$756.70	$886.34	$1,063.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.54 / $785.04 / $1,111.65	Facility		$566.54	$785.04	$1,111.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $723.73 / $1,157.96	Professional		$663.42	$723.73	$1,157.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.90 / $782.56 / $825.44	Facility		$565.90	$782.56	$825.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.54 / $841.28 / $1,111.65	Facility		$566.54	$841.28	$1,111.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $132.25 / $132.25 / $132.25	Facility	AS	$132.25	$132.25	$132.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.34 / $825.32 / $1,129.09	Professional		$725.34	$825.32	$1,129.09
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 $750.34 / $961.58 / $1,292.36	Professional		$750.34	$961.58	$1,292.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.50 / $807.10 / $1,263.91	Professional		$549.50	$807.10	$1,263.91