Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.32 / $4,962.67 / $15,341.00	Facility		$1,006.32	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.31 / $619.91 / $1,436.15	Professional		$422.31	$619.91	$1,436.15
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 $552.70 / $888.24 / $1,327.56	Professional		$552.70	$888.24	$1,327.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.04 / $992.16 / $1,190.31	Professional		$847.04	$992.16	$1,190.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.65 / $825.93 / $1,201.23	Facility		$619.65	$825.93	$1,201.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $726.40 / $795.29 / $1,188.65	Professional		$726.40	$795.29	$1,188.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.99 / $871.00 / $922.59	Facility		$640.99	$871.00	$922.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.91 / $932.92 / $2,919.00	Facility		$619.91	$932.92	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $813.47 / $939.60 / $1,244.63	Professional		$813.47	$939.60	$1,244.63
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 $828.45 / $1,053.68 / $1,416.15	Professional		$828.45	$1,053.68	$1,416.15
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 $662.99 / $916.49 / $1,401.91	Professional		$662.99	$916.49	$1,401.91