Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,011.87 / $6,606.93	Facility		$489.78	$5,011.87	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $588.84 / $4,786.30	Professional		$239.88	$588.84	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $630.96 / $6,456.54	Professional		$295.12	$630.96	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $6,165.95	Professional		$407.38	$616.60	$6,165.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,344.23 / $5,495.41	Facility		$251.19	$2,344.23	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,570.40 / $6,025.60	Professional		$398.11	$2,570.40	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $5,754.40	Facility		$3,630.78	$4,365.16	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $691.83 / $5,495.41	Facility		$239.88	$691.83	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $660.69 / $6,456.54	Professional		$302.00	$660.69	$6,456.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,466.84	Facility		$2,818.38	$3,715.35	$4,466.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $3,981.07 / $6,309.57	Professional		$457.09	$3,981.07	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $7,244.36	Facility		$1,548.82	$4,897.79	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $724.44 / $6,760.83	Professional		$371.54	$724.44	$6,760.83