Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.47 / $3,925.18 / $15,341.00	Facility		$389.47	$3,925.18	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $812.89 / $1,686.50	Professional		$200.17	$812.89	$1,686.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $336.96	Facility		$336.96	$336.96	$336.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.61 / $866.23 / $2,766.91	Professional		$301.61	$866.23	$2,766.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.10 / $529.48 / $2,336.44	Professional		$388.10	$529.48	$2,336.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.32 / $979.47 / $2,515.73	Facility		$250.32	$979.47	$2,515.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $332.27 / $622.77 / $2,558.96	Professional		$332.27	$622.77	$2,558.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.96 / $1,840.03 / $2,087.60	Facility		$393.96	$1,840.03	$2,087.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.10 / $1,059.74 / $2,551.13	Facility		$258.10	$1,059.74	$2,551.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.79 / $1,254.32 / $2,735.16	Professional		$377.79	$1,254.32	$2,735.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,664.71 / $12,623.94	Facility		$7,811.13	$10,664.71	$12,623.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $1,196.76 / $2,616.23	Professional		$376.79	$1,196.76	$2,616.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,949.00 / $12,835.00 / $26,404.00	Facility		$3,949.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.13 / $2,072.76 / $3,104.93	Professional		$1,084.13	$2,072.76	$3,104.93