Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.66 / $4,962.67 / $15,341.00	Facility		$892.66	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $555.58 / $2,002.00	Professional		$380.62	$555.58	$2,002.00
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 $515.28 / $868.18 / $1,306.66	Professional		$515.28	$868.18	$1,306.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.43 / $1,012.48 / $1,214.69	Professional		$861.43	$1,012.48	$1,214.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $589.90 / $807.12 / $1,077.80	Facility		$589.90	$807.12	$1,077.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.39 / $787.96 / $1,215.70	Professional		$675.39	$787.96	$1,215.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $612.89 / $847.55 / $923.26	Facility		$612.89	$847.55	$923.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.73 / $892.67 / $2,919.00	Facility		$607.73	$892.67	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $763.64 / $909.22 / $1,258.49	Professional		$763.64	$909.22	$1,258.49
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 $831.85 / $1,075.53 / $1,445.52	Professional		$831.85	$1,075.53	$1,445.52
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 $626.23 / $881.83 / $1,435.54	Professional		$626.23	$881.83	$1,435.54