Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.41 / $5,649.00 / $15,341.00	Facility		$1,017.41	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.71 / $646.53 / $1,623.07	Professional		$413.71	$646.53	$1,623.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $3,369.90	Facility		$2,310.00	$2,310.00	$3,369.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.16 / $885.68 / $1,297.18	Professional		$467.16	$885.68	$1,297.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $977.05 / $1,209.52	Professional		$744.09	$977.05	$1,209.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.02 / $844.10 / $1,257.89	Facility		$520.02	$844.10	$1,257.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $700.74 / $822.74 / $1,385.07	Professional		$700.74	$822.74	$1,385.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $641.48 / $887.08 / $944.70	Facility		$641.48	$887.08	$944.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.82 / $924.20 / $1,257.89	Facility		$552.82	$924.20	$1,257.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.15 / $1,012.32 / $1,310.59	Professional		$767.15	$1,012.32	$1,310.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,229.67 / $14,490.61	Facility		$8,391.79	$11,229.67	$14,490.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $860.42 / $1,098.77 / $1,363.72	Professional		$860.42	$1,098.77	$1,363.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.50 / $972.49 / $1,449.36	Professional		$663.50	$972.49	$1,449.36