Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.26 / $3,528.53 / $8,376.00	Facility		$584.26	$3,528.53	$8,376.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $632.54 / $2,487.60	Professional		$264.00	$632.54	$2,487.60
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 $465.81 / $801.34 / $1,614.75	Professional		$465.81	$801.34	$1,614.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.53 / $807.35 / $1,457.92	Professional		$625.53	$807.35	$1,457.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $417.29 / $851.55 / $1,336.37	Facility		$417.29	$851.55	$1,336.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $485.68 / $905.96 / $1,338.61	Professional		$485.68	$905.96	$1,338.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.94 / $1,038.83 / $1,193.27	Facility		$556.94	$1,038.83	$1,193.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.29 / $868.02 / $1,538.57	Facility		$417.29	$868.02	$1,538.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.62 / $883.07 / $1,558.12	Professional		$552.62	$883.07	$1,558.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $959.06 / $1,638.81	Professional		$566.41	$959.06	$1,638.81
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 $776.63 / $1,093.40 / $1,856.52	Professional		$776.63	$1,093.40	$1,856.52