Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.68 / $4,684.68 / $8,728.00	Facility		$795.68	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.17 / $555.13 / $1,755.27	Professional		$349.17	$555.13	$1,755.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $2,400.80	Facility		$1,937.44	$1,937.44	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.26 / $823.10 / $1,457.79	Professional		$438.26	$823.10	$1,457.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.05 / $942.96 / $1,331.92	Professional		$684.05	$942.96	$1,331.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.64 / $834.83 / $1,201.05	Facility		$496.64	$834.83	$1,201.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $579.08 / $804.46 / $1,319.73	Professional		$579.08	$804.46	$1,319.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $596.16 / $927.38 / $1,106.17	Facility		$596.16	$927.38	$1,106.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.64 / $839.44 / $1,419.30	Facility		$496.64	$839.44	$1,419.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $665.39 / $947.05 / $1,419.30	Professional		$665.39	$947.05	$1,419.30
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 $675.50 / $1,016.67 / $1,482.33	Professional		$675.50	$1,016.67	$1,482.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.74 / $1,005.34 / $1,726.31	Professional		$726.74	$1,005.34	$1,726.31