Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.06 / $8,369.76 / $30,593.00	Facility		$816.06	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.06 / $486.64 / $1,800.48	Professional		$343.06	$486.64	$1,800.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $11,301.37	Facility		$4,375.60	$4,375.60	$11,301.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.24 / $725.89 / $1,038.08	Professional		$400.24	$725.89	$1,038.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.91 / $773.30 / $927.33	Professional		$588.91	$773.30	$927.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.30 / $752.28 / $1,132.01	Facility		$405.30	$752.28	$1,132.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $592.42 / $725.40 / $1,080.57	Professional		$592.42	$725.40	$1,080.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.76 / $717.41 / $818.07	Facility		$585.76	$717.41	$818.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.90 / $851.43 / $1,182.95	Facility		$436.90	$851.43	$1,182.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $624.77 / $818.21 / $1,045.00	Professional		$624.77	$818.21	$1,045.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $38,534.69	Facility		$13,624.30	$18,659.50	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.53 / $858.55 / $1,153.90	Professional		$676.53	$858.55	$1,153.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.33 / $810.08 / $1,159.40	Professional		$552.33	$810.08	$1,159.40