Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.99 / $4,962.67 / $15,341.00	Facility		$640.99	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.82 / $449.90 / $1,386.44	Professional		$288.82	$449.90	$1,386.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $5,022.74	Facility		$2,310.00	$2,310.00	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.72 / $713.34 / $1,179.69	Professional		$391.72	$713.34	$1,179.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.09 / $775.84 / $1,072.83	Professional		$561.09	$775.84	$1,072.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.08 / $701.45 / $1,095.24	Facility		$407.08	$701.45	$1,095.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $475.32 / $698.10 / $1,057.73	Professional		$475.32	$698.10	$1,057.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.15 / $812.17 / $879.71	Facility		$512.15	$812.17	$879.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.90 / $702.30 / $1,225.49	Facility		$410.90	$702.30	$1,225.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.76 / $806.62 / $1,144.88	Professional		$549.76	$806.62	$1,144.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $556.12 / $813.90 / $1,186.64	Professional		$556.12	$813.90	$1,186.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.60 / $893.20 / $1,378.82	Professional		$621.60	$893.20	$1,378.82