Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.58 / $4,962.67 / $15,341.00	Facility		$1,142.58	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.27 / $619.11 / $1,978.00	Professional		$410.27	$619.11	$1,978.00
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 $519.05 / $949.87 / $1,405.12	Professional		$519.05	$949.87	$1,405.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.90 / $1,136.34 / $1,363.30	Professional		$963.90	$1,136.34	$1,363.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.08 / $866.64 / $1,135.19	Facility		$606.08	$866.64	$1,135.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $857.28 / $1,361.56	Professional		$717.60	$857.28	$1,361.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.85 / $871.00 / $1,043.85	Facility		$629.85	$871.00	$1,043.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.11 / $915.10 / $1,552.73	Facility		$619.11	$915.10	$1,552.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $790.30 / $1,026.80 / $1,409.99	Professional		$790.30	$1,026.80	$1,409.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,434.23 / $9,638.43 / $12,117.15	Facility		$5,434.23	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $861.98 / $1,210.33 / $1,634.34	Professional		$861.98	$1,210.33	$1,634.34
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 $658.42 / $949.96 / $1,532.04	Professional		$658.42	$949.96	$1,532.04