Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.55 / $7,074.00 / $16,340.34	Facility		$718.55	$7,074.00	$16,340.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $584.19 / $1,804.00	Professional		$369.74	$584.19	$1,804.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.39 / $818.89 / $1,241.83	Professional		$498.39	$818.89	$1,241.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.58 / $916.66 / $1,099.72	Professional		$782.58	$916.66	$1,099.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $584.19 / $812.20 / $1,149.59	Facility		$584.19	$812.20	$1,149.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $686.90 / $749.34 / $1,198.94	Professional		$686.90	$749.34	$1,198.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $582.85 / $806.01 / $853.58	Facility		$582.85	$806.01	$853.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $584.19 / $869.83 / $1,149.59	Facility		$584.19	$869.83	$1,149.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $136.72 / $136.72 / $136.72	Facility	AS	$136.72	$136.72	$136.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $749.10 / $851.36 / $1,166.77	Professional		$749.10	$851.36	$1,166.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $775.55 / $994.36 / $1,336.43	Professional		$775.55	$994.36	$1,336.43
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 $569.16 / $847.71 / $1,306.40	Professional		$569.16	$847.71	$1,306.40