Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.60 / $4,962.67 / $15,341.00	Facility		$1,084.60	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.47 / $650.21 / $2,188.00	Professional		$441.47	$650.21	$2,188.00
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 $553.42 / $938.36 / $1,405.43	Professional		$553.42	$938.36	$1,405.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.59 / $1,095.58 / $1,314.38	Professional		$929.59	$1,095.58	$1,314.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $638.47 / $875.08 / $1,167.05	Facility		$638.47	$875.08	$1,167.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $749.40 / $853.74 / $1,310.90	Professional		$749.40	$853.74	$1,310.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.37 / $913.21 / $993.61	Facility		$660.37	$913.21	$993.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.24 / $970.30 / $2,919.00	Facility		$658.24	$970.30	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $824.16 / $981.11 / $1,356.43	Professional		$824.16	$981.11	$1,356.43
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 $894.73 / $1,157.48 / $1,555.67	Professional		$894.73	$1,157.48	$1,555.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.67 / $950.12 / $1,484.95	Professional		$646.67	$950.12	$1,484.95