Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,187.76 / $17,378.01	Facility		$724.44	$2,187.76	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $2,691.53	Professional		$489.78	$794.33	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $2,344.23	Professional		$660.69	$1,202.26	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,187.76	Professional		$933.25	$1,380.38	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,041.74	Facility		$630.96	$1,096.48	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $2,041.74	Professional		$831.76	$1,230.27	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $1,778.28	Facility		$1,148.15	$1,737.80	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,778.28	Facility		$630.96	$1,023.29	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $2,187.76	Professional		$79.43	$1,230.27	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,238.72	Professional		$954.99	$1,348.96	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,187.76	Professional		$758.58	$1,258.93	$2,187.76