Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.02 / $4,962.67 / $15,341.00	Facility		$287.02	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $743.78 / $2,521.34	Professional		$117.51	$743.78	$2,521.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.41 / $3,250.41 / $3,250.41	Facility		$3,250.41	$3,250.41	$3,250.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $468.00 / $3,360.71	Professional		$183.47	$468.00	$3,360.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.77 / $327.30 / $3,034.33	Professional		$222.77	$327.30	$3,034.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.83 / $1,144.53 / $3,090.23	Facility		$174.83	$1,144.53	$3,090.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.39 / $1,611.24 / $3,290.89	Professional		$200.39	$1,611.24	$3,290.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.18 / $2,193.15 / $2,486.37	Facility		$237.18	$2,193.15	$2,486.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.87 / $1,401.91 / $3,293.39	Facility		$177.87	$1,401.91	$3,293.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.46 / $1,475.77 / $3,293.39	Professional		$224.46	$1,475.77	$3,293.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $4,090.62 / $6,069.32	Facility		$1,719.37	$4,090.62	$6,069.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $1,794.27 / $3,377.44	Professional		$225.30	$1,794.27	$3,377.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,583.46 / $2,172.29 / $3,976.16	Professional		$1,583.46	$2,172.29	$3,976.16