Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.33 / $8,369.76 / $30,593.00	Facility		$1,054.33	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.07 / $666.19 / $1,607.50	Professional		$417.07	$666.19	$1,607.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.17 / $915.99 / $1,307.33	Professional		$476.17	$915.99	$1,307.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.35 / $1,015.48 / $1,259.76	Professional		$773.35	$1,015.48	$1,259.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.50 / $850.00 / $1,277.33	Facility		$522.50	$850.00	$1,277.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.05 / $834.38 / $1,437.15	Professional		$687.05	$834.38	$1,437.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $647.78 / $887.12 / $980.21	Facility		$647.78	$887.12	$980.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $538.09 / $933.87 / $1,685.62	Facility		$538.09	$933.87	$1,685.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $780.45 / $1,044.01 / $1,343.47	Professional		$780.45	$1,044.01	$1,343.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $890.57 / $1,137.26 / $1,377.11	Professional		$890.57	$1,137.26	$1,377.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,336.14 / $12,786.00	Facility		$1,533.00	$8,336.14	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.28 / $954.37 / $1,511.33	Professional		$672.28	$954.37	$1,511.33