Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.33 / $1,507.00 / $13,320.00	Facility		$870.33	$1,507.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.57 / $626.74 / $1,607.37	Professional		$423.57	$626.74	$1,607.37
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 $597.66 / $1,042.47 / $1,631.48	Professional		$597.66	$1,042.47	$1,631.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.77 / $1,147.40 / $1,473.04	Professional		$920.77	$1,147.40	$1,473.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.76 / $898.84 / $1,366.94	Facility		$594.76	$898.84	$1,366.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.98 / $962.82 / $1,410.04	Professional		$713.98	$962.82	$1,410.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $701.67 / $1,115.42 / $1,216.05	Facility		$701.67	$1,115.42	$1,216.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.14 / $922.88 / $1,679.96	Facility		$607.14	$922.88	$1,679.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $804.51 / $1,130.28 / $1,569.98	Professional		$804.51	$1,130.28	$1,569.98
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 $797.08 / $1,162.73 / $1,691.29	Professional		$797.08	$1,162.73	$1,691.29
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 $808.22 / $1,212.32 / $1,892.97	Professional		$808.22	$1,212.32	$1,892.97