Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.28 / $4,600.10 / $15,341.00	Facility		$1,171.28	$4,600.10	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.13 / $681.15 / $2,168.00	Professional		$453.13	$681.15	$2,168.00
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 $612.77 / $1,015.95 / $1,560.79	Professional		$612.77	$1,015.95	$1,560.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.66 / $1,175.60 / $1,410.39	Professional		$1,003.66	$1,175.60	$1,410.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $661.60 / $957.60 / $1,284.34	Facility		$661.60	$957.60	$1,284.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $788.45 / $937.80 / $1,419.20	Professional		$788.45	$937.80	$1,419.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $731.60 / $992.39 / $1,075.34	Facility		$731.60	$992.39	$1,075.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.79 / $1,057.96 / $2,919.00	Facility		$702.79	$1,057.96	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $907.91 / $1,075.56 / $1,469.16	Professional		$907.91	$1,075.56	$1,469.16
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 $977.28 / $1,252.70 / $1,683.65	Professional		$977.28	$1,252.70	$1,683.65
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 $711.11 / $1,059.10 / $1,631.63	Professional		$711.11	$1,059.10	$1,631.63