Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.51 / $2,747.00 / $13,320.00	Facility		$950.51	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.36 / $602.23 / $1,874.81	Professional		$398.36	$602.23	$1,874.81
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 $589.27 / $1,019.40 / $1,586.75	Professional		$589.27	$1,019.40	$1,586.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.84 / $1,118.24 / $1,433.69	Professional		$907.84	$1,118.24	$1,433.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.12 / $882.57 / $1,340.96	Facility		$572.12	$882.57	$1,340.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $937.74 / $1,388.82	Professional		$706.44	$937.74	$1,388.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $680.99 / $1,088.58 / $1,176.52	Facility		$680.99	$1,088.58	$1,176.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.52 / $899.65 / $1,636.46	Facility		$588.52	$899.65	$1,636.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $786.24 / $1,096.20 / $1,522.50	Professional		$786.24	$1,096.20	$1,522.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $781.71 / $1,126.48 / $1,630.38	Professional		$781.71	$1,126.48	$1,630.38
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 $830.06 / $1,185.81 / $1,802.65	Professional		$830.06	$1,185.81	$1,802.65