Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.73 / $4,962.67 / $15,341.00	Facility		$1,162.73	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.65 / $738.70 / $1,678.27	Professional		$486.65	$738.70	$1,678.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.01 / $1,042.81 / $1,529.93	Professional		$660.01	$1,042.81	$1,529.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $994.73 / $1,165.74 / $1,398.55	Professional		$994.73	$1,165.74	$1,398.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.70 / $1,041.11 / $1,409.69	Facility		$738.70	$1,041.11	$1,409.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $939.73 / $1,409.59	Professional		$819.00	$939.73	$1,409.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $718.51 / $982.22 / $1,071.33	Facility		$718.51	$982.22	$1,071.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.70 / $1,109.52 / $2,919.00	Facility		$738.70	$1,109.52	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $935.55 / $1,065.83 / $1,460.84	Professional		$935.55	$1,065.83	$1,460.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $972.36 / $1,248.02 / $1,677.35	Professional		$972.36	$1,248.02	$1,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.88 / $1,047.20 / $1,637.93	Professional		$734.88	$1,047.20	$1,637.93