Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.73 / $4,962.67 / $15,341.00	Facility		$1,013.73	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.82 / $595.86 / $1,229.88	Professional		$367.82	$595.86	$1,229.88
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 $496.78 / $869.94 / $1,325.18	Professional		$496.78	$869.94	$1,325.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.96 / $1,019.12 / $1,222.66	Professional		$867.96	$1,019.12	$1,222.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $611.78 / $780.37 / $1,032.97	Facility		$611.78	$780.37	$1,032.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $674.55 / $796.46 / $1,228.82	Professional		$674.55	$796.46	$1,228.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.67 / $782.09 / $933.98	Facility		$555.67	$782.09	$933.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.42 / $878.12 / $2,919.00	Facility		$634.42	$878.12	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.34 / $921.30 / $1,267.76	Professional		$733.34	$921.30	$1,267.76
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 $843.64 / $1,088.02 / $1,462.31	Professional		$843.64	$1,088.02	$1,462.31
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 $609.59 / $868.99 / $1,398.68	Professional		$609.59	$868.99	$1,398.68