Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.07 / $4,283.46 / $8,728.00	Facility		$846.07	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.69 / $925.59 / $3,352.85	Professional		$380.69	$925.59	$3,352.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.82 / $1,260.82 / $3,250.41	Facility		$1,260.82	$1,260.82	$3,250.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.13 / $1,059.64 / $2,664.55	Professional		$516.13	$1,059.64	$2,664.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.10 / $1,057.99 / $2,226.96	Professional		$720.10	$1,057.99	$2,226.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.02 / $1,155.15 / $6,290.16	Facility		$602.02	$1,155.15	$6,290.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $624.67 / $1,205.27 / $4,668.60	Professional		$624.67	$1,205.27	$4,668.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $789.58 / $1,751.68 / $5,572.20	Facility		$789.58	$1,751.68	$5,572.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.02 / $1,300.81 / $6,290.16	Facility		$602.02	$1,300.81	$6,290.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $728.32 / $1,207.35 / $2,590.65	Professional		$728.32	$1,207.35	$2,590.65
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 $735.45 / $1,655.59 / $2,633.10	Professional		$735.45	$1,655.59	$2,633.10
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 $1,464.48 / $2,399.67 / $5,943.77	Professional		$1,464.48	$2,399.67	$5,943.77