Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $13,182.57	Facility		$1,000.00	$1,288.25	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,380.38	Professional		$467.74	$588.84	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,011.87	Facility		$1,659.59	$1,659.59	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $1,348.96	Professional		$426.58	$891.25	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,202.26	Professional		$676.08	$933.25	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $1,258.93	Facility		$489.78	$724.44	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,202.26	Professional		$724.44	$912.01	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,000.00	Facility		$741.31	$977.24	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $741.31 / $1,230.27	Facility		$457.09	$741.31	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,348.96	Professional		$79.43	$977.24	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,348.96	Professional		$933.25	$1,071.52	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,380.38	Professional		$588.84	$977.24	$1,380.38