Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.12 / $4,535.00 / $13,320.00	Facility		$841.12	$4,535.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $556.84 / $1,244.92	Professional		$377.68	$556.84	$1,244.92
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 $506.24 / $833.63 / $1,260.35	Professional		$506.24	$833.63	$1,260.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.96 / $931.15 / $1,117.11	Professional		$794.96	$931.15	$1,117.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.55 / $824.73 / $1,166.26	Facility		$592.55	$824.73	$1,166.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $694.90 / $759.50 / $1,298.22	Professional		$694.90	$759.50	$1,298.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.03 / $820.08 / $864.97	Facility		$593.03	$820.08	$864.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.55 / $881.67 / $1,166.26	Facility		$592.55	$881.67	$1,166.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	AS	$138.04	$138.04	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $759.50 / $864.14 / $1,179.95	Professional		$759.50	$864.14	$1,179.95
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 $785.39 / $1,007.63 / $1,354.26	Professional		$785.39	$1,007.63	$1,354.26
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 $612.50 / $884.96 / $1,321.05	Professional		$612.50	$884.96	$1,321.05