Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.44 / $7,920.26 / $21,638.60	Facility		$1,049.44	$7,920.26	$21,638.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.98 / $493.10 / $1,249.45	Professional		$394.98	$493.10	$1,249.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.15 / $901.26 / $1,360.16	Professional		$535.15	$901.26	$1,360.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $898.55 / $1,055.55 / $1,266.34	Professional		$898.55	$1,055.55	$1,266.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $620.40 / $837.36 / $1,126.25	Facility		$620.40	$837.36	$1,126.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.46 / $824.20 / $1,271.61	Professional		$706.46	$824.20	$1,271.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.99 / $885.79 / $966.81	Facility		$640.99	$885.79	$966.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $933.24 / $5,217.00	Facility		$630.00	$933.24	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $792.88 / $954.72 / $1,317.62	Professional		$792.88	$954.72	$1,317.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $865.91 / $1,126.26 / $1,513.71	Professional		$865.91	$1,126.26	$1,513.71
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 $643.67 / $925.29 / $1,446.13	Professional		$643.67	$925.29	$1,446.13