Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,684.68 / $8,728.00	Facility		$988.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.52 / $617.99 / $1,452.72	Professional		$408.52	$617.99	$1,452.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.38 / $868.51 / $1,328.27	Professional		$522.38	$868.51	$1,328.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.91 / $1,011.14 / $1,213.08	Professional		$861.91	$1,011.14	$1,213.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.67 / $816.48 / $1,092.25	Facility		$594.67	$816.48	$1,092.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $681.36 / $806.42 / $1,302.33	Professional		$681.36	$806.42	$1,302.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $612.89 / $847.55 / $927.28	Facility		$612.89	$847.55	$927.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.35 / $895.28 / $2,450.00	Facility		$606.35	$895.28	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.85 / $920.55 / $1,262.18	Professional		$771.85	$920.55	$1,262.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $840.13 / $1,080.21 / $1,451.82	Professional		$840.13	$1,080.21	$1,451.82
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 $607.24 / $890.41 / $1,393.30	Professional		$607.24	$890.41	$1,393.30