Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $13,182.57	Facility		$1,000.00	$1,348.96	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,445.44	Professional		$426.58	$537.03	$1,445.44
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 $512.86 / $912.01 / $1,380.38	Professional		$512.86	$912.01	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,258.93	Professional		$812.83	$1,071.52	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $1,230.27	Facility		$489.78	$758.58	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,318.26	Professional		$707.95	$891.25	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,047.13	Facility		$691.83	$954.99	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $1,096.48	Facility		$489.78	$758.58	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,348.96	Professional		$79.43	$933.25	$1,348.96
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 $831.76 / $1,047.13 / $1,412.54	Professional		$831.76	$1,047.13	$1,412.54
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 $616.60 / $912.01 / $1,348.96	Professional		$616.60	$912.01	$1,348.96