Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.89 / $5,374.79 / $8,728.00	Facility		$528.89	$5,374.79	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $755.02 / $6,271.25	Professional		$242.84	$755.02	$6,271.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,059.63	Facility		$1,089.75	$1,089.75	$2,059.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.78 / $706.14 / $6,597.06	Professional		$351.78	$706.14	$6,597.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.83 / $662.37 / $5,628.49	Professional		$450.83	$662.37	$5,628.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.16 / $2,041.32 / $7,834.37	Facility		$361.16	$2,041.32	$7,834.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $404.74 / $3,235.29 / $6,153.84	Professional		$404.74	$3,235.29	$6,153.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $477.04 / $4,397.35 / $5,591.64	Facility		$477.04	$4,397.35	$5,591.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.73 / $2,335.28 / $7,834.37	Facility		$364.73	$2,335.28	$7,834.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.82 / $3,068.03 / $6,614.08	Professional		$456.82	$3,068.03	$6,614.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.30 / $4,252.91 / $6,805.89	Professional		$460.30	$4,252.91	$6,805.89
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 $881.46 / $5,616.11 / $7,973.13	Professional		$881.46	$5,616.11	$7,973.13