Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.01 / $2,747.00 / $13,746.00	Facility		$911.01	$2,747.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.11 / $597.88 / $1,528.55	Professional		$392.11	$597.88	$1,528.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.20 / $998.57 / $1,526.65	Professional		$594.20	$998.57	$1,526.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.23 / $1,075.97 / $1,378.39	Professional		$862.23	$1,075.97	$1,378.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.03 / $869.28 / $1,297.15	Facility		$578.03	$869.28	$1,297.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.88 / $934.27 / $1,316.66	Professional		$687.88	$934.27	$1,316.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $685.37 / $1,060.90 / $1,140.33	Facility		$685.37	$1,060.90	$1,140.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.07 / $908.08 / $1,585.55	Facility		$578.07	$908.08	$1,585.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $761.37 / $1,059.61 / $1,472.23	Professional		$761.37	$1,059.61	$1,472.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $1,086.98 / $1,589.06	Professional		$762.88	$1,086.98	$1,589.06
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 $828.49 / $1,159.89 / $1,739.46	Professional		$828.49	$1,159.89	$1,739.46