Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $5,116.62 / $20,400.00	Facility		$24.03	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.53 / $962.36 / $2,724.01	Professional		$646.53	$962.36	$2,724.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.62 / $1,616.25 / $2,389.73	Professional		$881.62	$1,616.25	$2,389.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,592.46 / $1,881.68 / $2,257.48	Professional		$1,592.46	$1,881.68	$2,257.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $911.60 / $1,383.36 / $1,857.25	Facility		$911.60	$1,383.36	$1,857.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.95 / $1,455.91 / $2,246.27	Professional		$1,128.95	$1,455.91	$2,246.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $955.96 / $1,448.20 / $1,730.61	Facility		$955.96	$1,448.20	$1,730.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,072.30 / $1,542.56 / $5,949.00	Facility		$1,072.30	$1,542.56	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.43 / $1,721.20 / $2,378.73	Professional		$1,281.43	$1,721.20	$2,378.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,514.36 / $2,016.03 / $2,709.57	Professional		$1,514.36	$2,016.03	$2,709.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,617.04 / $2,564.42	Professional		$1,092.00	$1,617.04	$2,564.42