Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.63 / $6,072.60 / $15,341.00	Facility		$369.63	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $263.66 / $1,002.36	Professional		$172.89	$263.66	$1,002.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $470.00 / $1,205.81	Professional		$262.70	$470.00	$1,205.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $466.04 / $1,088.71	Professional		$317.20	$466.04	$1,088.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.37 / $419.51 / $1,127.14	Facility		$255.37	$419.51	$1,127.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $441.91 / $1,128.30	Professional		$286.42	$441.91	$1,128.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.81 / $796.29 / $901.15	Facility		$328.81	$796.29	$901.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.37 / $479.23 / $1,549.66	Facility		$255.37	$479.23	$1,549.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $545.80 / $1,182.33	Professional		$322.33	$545.80	$1,182.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $747.40 / $1,236.42	Professional		$323.70	$747.40	$1,236.42
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 $469.30 / $884.89 / $1,407.93	Professional		$469.30	$884.89	$1,407.93