Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.10 / $5,116.62 / $15,341.00	Facility		$754.10	$5,116.62	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.46 / $1,473.13 / $2,474.51	Professional		$346.46	$1,473.13	$2,474.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.94 / $597.94 / $597.94	Facility		$597.94	$597.94	$597.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.25 / $1,223.68 / $3,878.02	Professional		$532.25	$1,223.68	$3,878.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.57 / $944.86 / $3,289.14	Professional		$692.57	$944.86	$3,289.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.10 / $1,378.85 / $3,629.34	Facility		$463.10	$1,378.85	$3,629.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $591.54 / $1,108.71 / $3,570.10	Professional		$591.54	$1,108.71	$3,570.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $706.85 / $2,598.50 / $2,922.64	Facility		$706.85	$2,598.50	$2,922.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.65 / $1,486.21 / $3,629.34	Facility		$463.65	$1,486.21	$3,629.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.92 / $1,759.26 / $3,840.08	Professional		$673.92	$1,759.26	$3,840.08
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 $664.20 / $1,686.64 / $3,672.24	Professional		$664.20	$1,686.64	$3,672.24
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 $1,545.00 / $2,996.71 / $4,418.00	Professional		$1,545.00	$2,996.71	$4,418.00