Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.29 / $8,369.76 / $30,593.00	Facility		$1,130.29	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.75 / $621.02 / $1,618.60	Professional		$491.75	$621.02	$1,618.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,400.80	Facility		$1,664.70	$1,664.70	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.81 / $990.91 / $1,405.23	Professional		$499.81	$990.91	$1,405.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.88 / $1,073.95 / $1,326.74	Professional		$817.88	$1,073.95	$1,326.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $534.10 / $931.50 / $1,448.56	Facility		$534.10	$931.50	$1,448.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $789.99 / $902.72 / $1,506.90	Professional		$789.99	$902.72	$1,506.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $714.15 / $972.17 / $1,027.78	Facility		$714.15	$972.17	$1,027.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.10 / $1,097.36 / $1,767.42	Facility		$599.10	$1,097.36	$1,767.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $861.09 / $1,099.52 / $1,412.84	Professional		$861.09	$1,099.52	$1,412.84
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 $937.93 / $1,197.29 / $1,518.22	Professional		$937.93	$1,197.29	$1,518.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,130.00 / $9,858.06	Facility		$1,472.00	$5,130.00	$9,858.06
United Facility/Professional Professional Modifier Low / Median / High Price $712.32 / $1,043.80 / $1,622.45	Professional		$712.32	$1,043.80	$1,622.45