Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.24 / $4,962.67 / $15,341.00	Facility		$940.24	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $551.16 / $1,365.94	Professional		$357.01	$551.16	$1,365.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.61 / $814.19 / $1,281.97	Professional		$475.61	$814.19	$1,281.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.64 / $947.90 / $1,137.21	Professional		$808.64	$947.90	$1,137.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.33 / $729.43 / $948.74	Facility		$541.33	$729.43	$948.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $751.08 / $1,175.53	Professional		$592.79	$751.08	$1,175.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $534.41 / $787.98 / $895.12	Facility		$534.41	$787.98	$895.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $551.16 / $783.06 / $2,402.00	Facility		$551.16	$783.06	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $677.82 / $879.10 / $1,216.91	Professional		$677.82	$879.10	$1,216.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46,206.43 / $57,880.41 / $70,632.23	Facility		$46,206.43	$57,880.41	$70,632.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $1,042.75 / $1,401.46	Professional		$810.00	$1,042.75	$1,401.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.72 / $834.78 / $1,364.40	Professional		$566.72	$834.78	$1,364.40