Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.50 / $10,347.48 / $32,689.00	Facility		$808.50	$10,347.48	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.88 / $529.28 / $1,082.42	Professional		$360.88	$529.28	$1,082.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,901.32	Facility		$2,059.63	$2,059.63	$2,901.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.59 / $771.19 / $1,135.79	Professional		$419.59	$771.19	$1,135.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.76 / $855.82 / $1,054.08	Professional		$651.76	$855.82	$1,054.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.13 / $734.71 / $1,121.83	Facility		$443.13	$734.71	$1,121.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $596.19 / $711.60 / $1,216.10	Professional		$596.19	$711.60	$1,216.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.55 / $750.13 / $829.46	Facility		$529.55	$750.13	$829.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.42 / $819.06 / $1,426.38	Facility		$495.42	$819.06	$1,426.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $675.36 / $886.68 / $1,157.73	Professional		$675.36	$886.68	$1,157.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $756.49 / $966.26 / $1,165.43	Professional		$756.49	$966.26	$1,165.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $814.73 / $1,296.41	Professional		$561.60	$814.73	$1,296.41