Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.05 / $4,962.67 / $15,341.00	Facility		$935.05	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.37 / $575.14 / $1,344.65	Professional		$398.37	$575.14	$1,344.65
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 $510.48 / $825.63 / $1,274.77	Professional		$510.48	$825.63	$1,274.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.93 / $922.47 / $1,101.61	Professional		$783.93	$922.47	$1,101.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $546.38 / $787.94 / $1,083.75	Facility		$546.38	$787.94	$1,083.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $670.20 / $758.65 / $1,137.97	Professional		$670.20	$758.65	$1,137.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $818.75 / $869.66	Facility		$592.54	$818.75	$869.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.14 / $867.60 / $2,919.00	Facility		$575.14	$867.60	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $772.45 / $875.16 / $1,191.95	Professional		$772.45	$875.16	$1,191.95
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 $791.54 / $1,013.09 / $1,361.60	Professional		$791.54	$1,013.09	$1,361.60
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 $597.60 / $859.06 / $1,333.34	Professional		$597.60	$859.06	$1,333.34