Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $4,962.67 / $15,341.00	Facility		$1,006.00	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $603.70 / $1,220.50	Professional		$401.81	$603.70	$1,220.50
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 $508.27 / $860.01 / $1,296.36	Professional		$508.27	$860.01	$1,296.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.89 / $1,017.00 / $1,220.10	Professional		$864.89	$1,017.00	$1,220.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $587.12 / $795.60 / $1,072.70	Facility		$587.12	$795.60	$1,072.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.92 / $789.09 / $1,217.46	Professional		$680.92	$789.09	$1,217.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $609.02 / $842.19 / $923.26	Facility		$609.02	$842.19	$923.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $591.38 / $872.18 / $1,368.75	Facility		$591.38	$872.18	$1,368.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $755.99 / $909.16 / $1,256.64	Professional		$755.99	$909.16	$1,256.64
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 $825.30 / $1,075.53 / $1,445.52	Professional		$825.30	$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 $603.67 / $889.70 / $1,481.37	Professional		$603.67	$889.70	$1,481.37