Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $4,578.66 / $15,341.00	Facility		$521.00	$4,578.66	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $536.86 / $4,634.72	Professional		$288.95	$536.86	$4,634.72
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 $378.44 / $802.86 / $6,811.71	Professional		$378.44	$802.86	$6,811.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.47 / $738.25 / $5,822.62	Professional		$502.47	$738.25	$5,822.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $402.59 / $2,113.79 / $7,906.58	Facility		$402.59	$2,113.79	$7,906.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $452.29 / $3,685.32 / $6,390.11	Professional		$452.29	$3,685.32	$6,390.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $533.32 / $4,551.68 / $5,773.88	Facility		$533.32	$4,551.68	$5,773.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.15 / $2,417.23 / $7,906.58	Facility		$406.15	$2,417.23	$7,906.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $510.91 / $3,166.32 / $6,830.08	Professional		$510.91	$3,166.32	$6,830.08
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 $514.67 / $4,393.50 / $7,034.24	Professional		$514.67	$4,393.50	$7,034.24
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 $991.62 / $5,388.50 / $8,156.96	Professional		$991.62	$5,388.50	$8,156.96