Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.22 / $4,962.67 / $15,341.00	Facility		$1,030.22	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.93 / $646.98 / $1,467.17	Professional		$430.93	$646.98	$1,467.17
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 $550.86 / $919.35 / $1,355.10	Professional		$550.86	$919.35	$1,355.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.83 / $1,016.51 / $1,219.52	Professional		$867.83	$1,016.51	$1,219.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $577.09 / $842.58 / $1,124.55	Facility		$577.09	$842.58	$1,124.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $702.27 / $809.89 / $1,214.83	Professional		$702.27	$809.89	$1,214.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.88 / $869.66 / $924.80	Facility		$628.88	$869.66	$924.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.67 / $925.37 / $2,919.00	Facility		$624.67	$925.37	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.93 / $945.00 / $1,292.00	Professional		$825.93	$945.00	$1,292.00
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 $848.12 / $1,075.53 / $1,445.52	Professional		$848.12	$1,075.53	$1,445.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $919.80 / $1,453.45	Professional		$648.00	$919.80	$1,453.45