Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.84 / $4,962.67 / $15,341.00	Facility		$987.84	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $593.46 / $1,436.42	Professional		$382.00	$593.46	$1,436.42
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 $488.33 / $859.55 / $1,319.01	Professional		$488.33	$859.55	$1,319.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.06 / $1,000.71 / $1,200.56	Professional		$851.06	$1,000.71	$1,200.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $482.27 / $748.66 / $1,040.04	Facility		$482.27	$748.66	$1,040.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $618.41 / $799.18 / $1,233.17	Professional		$618.41	$799.18	$1,233.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.73 / $770.07 / $938.00	Facility		$527.73	$770.07	$938.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $536.02 / $845.64 / $2,919.00	Facility		$536.02	$845.64	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $721.48 / $918.68 / $1,269.59	Professional		$721.48	$918.68	$1,269.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $839.71 / $1,092.70 / $1,468.60	Professional		$839.71	$1,092.70	$1,468.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.50 / $842.15 / $1,318.86	Professional		$610.50	$842.15	$1,318.86