Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.22 / $1,293.08 / $11,915.00	Facility		$748.22	$1,293.08	$11,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $530.98 / $1,334.63	Professional		$336.93	$530.98	$1,334.63
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 $511.26 / $910.20 / $1,455.97	Professional		$511.26	$910.20	$1,455.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.00 / $1,027.65 / $1,323.76	Professional		$811.00	$1,027.65	$1,323.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.43 / $776.92 / $1,193.20	Facility		$504.43	$776.92	$1,193.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $615.96 / $861.96 / $1,241.32	Professional		$615.96	$861.96	$1,241.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $610.24 / $996.26 / $1,074.68	Facility		$610.24	$996.26	$1,074.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.43 / $800.23 / $1,435.61	Facility		$504.43	$800.23	$1,435.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.78 / $171.78 / $171.78	Facility	AS	$171.78	$171.78	$171.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.87 / $987.35 / $1,384.24	Professional		$686.87	$987.35	$1,384.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $693.76 / $1,019.46 / $1,472.96	Professional		$693.76	$1,019.46	$1,472.96
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 $713.46 / $1,023.28 / $1,643.09	Professional		$713.46	$1,023.28	$1,643.09