Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.82 / $4,962.67 / $15,341.00	Facility		$453.82	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $788.55 / $2,118.79	Professional		$203.03	$788.55	$2,118.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,341.30	Facility		$1,089.75	$1,089.75	$2,341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $621.44 / $2,162.52	Professional		$305.08	$621.44	$2,162.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $571.08 / $1,895.86	Professional		$388.70	$571.08	$1,895.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.60 / $794.77 / $2,350.62	Facility		$311.60	$794.77	$2,350.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.99 / $1,101.89 / $1,922.90	Professional		$346.99	$1,101.89	$1,922.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.37 / $1,495.97 / $1,815.70	Facility		$459.37	$1,495.97	$1,815.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.60 / $1,089.75 / $2,361.53	Facility		$311.60	$1,089.75	$2,361.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.23 / $1,011.16 / $2,163.04	Professional		$390.23	$1,011.16	$2,163.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.68 / $1,478.48 / $2,241.94	Professional		$391.68	$1,478.48	$2,241.94
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 $1,311.96 / $1,863.24 / $2,559.75	Professional		$1,311.96	$1,863.24	$2,559.75