Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.55 / $4,625.74 / $13,320.00	Facility		$931.55	$4,625.74	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.26 / $554.75 / $1,119.73	Professional		$376.26	$554.75	$1,119.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.70 / $823.66 / $1,258.73	Professional		$518.70	$823.66	$1,258.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.48 / $941.13 / $1,129.08	Professional		$803.48	$941.13	$1,129.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $564.62 / $783.84 / $1,051.45	Facility		$564.62	$783.84	$1,051.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $689.40 / $756.90 / $1,135.34	Professional		$689.40	$756.90	$1,135.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $597.39 / $818.74 / $857.60	Facility		$597.39	$818.74	$857.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.34 / $849.91 / $5,217.00	Facility		$594.34	$849.91	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.82 / $863.94 / $1,163.00	Professional		$743.82	$863.94	$1,163.00
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 $773.09 / $999.04 / $1,339.71	Professional		$773.09	$999.04	$1,339.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.54 / $855.39 / $1,317.79	Professional		$586.54	$855.39	$1,317.79