Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,684.68 / $8,728.00	Facility		$988.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $654.58 / $1,599.87	Professional		$433.94	$654.58	$1,599.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.45 / $943.74 / $1,420.87	Professional		$549.45	$943.74	$1,420.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.68 / $1,114.67 / $1,337.28	Professional		$947.68	$1,114.67	$1,337.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.97 / $859.68 / $1,159.40	Facility		$633.97	$859.68	$1,159.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $744.30 / $868.35 / $1,339.74	Professional		$744.30	$868.35	$1,339.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.08 / $904.50 / $1,019.74	Facility		$654.08	$904.50	$1,019.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.97 / $955.11 / $1,502.03	Facility		$633.97	$955.11	$1,502.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $1,002.32 / $1,385.08	Professional		$826.00	$1,002.32	$1,385.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $904.56 / $1,187.92 / $1,596.58	Professional		$904.56	$1,187.92	$1,596.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.99 / $976.05 / $1,509.75	Professional		$685.99	$976.05	$1,509.75