Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.59 / $5,649.00 / $15,341.00	Facility		$1,383.59	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.15 / $670.69 / $1,978.89	Professional		$609.15	$670.69	$1,978.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,400.80	Facility		$2,310.00	$2,310.00	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.42 / $1,222.82 / $1,743.61	Professional		$609.42	$1,222.82	$1,743.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $999.46 / $1,312.38 / $1,625.55	Professional		$999.46	$1,312.38	$1,625.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $751.33 / $1,126.54 / $1,780.85	Facility		$751.33	$1,126.54	$1,780.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $976.65 / $1,122.03 / $1,839.90	Professional		$976.65	$1,122.03	$1,839.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $895.84 / $1,188.58 / $1,254.91	Facility		$895.84	$1,188.58	$1,254.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $754.24 / $1,339.80 / $2,158.00	Facility		$754.24	$1,339.80	$2,158.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,058.46 / $1,345.39 / $1,727.34	Professional		$1,058.46	$1,345.39	$1,727.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,052.68	Facility		$7,382.73	$9,721.75	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,147.65 / $1,461.88 / $1,904.47	Professional		$1,147.65	$1,461.88	$1,904.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.74 / $1,312.76 / $1,966.78	Professional		$904.74	$1,312.76	$1,966.78