Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.45 / $5,649.00 / $15,341.00	Facility		$1,575.45	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.65 / $1,076.78 / $2,247.34	Professional		$495.65	$1,076.78	$2,247.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.29 / $1,001.26 / $1,874.21	Professional		$663.29	$1,001.26	$1,874.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.32 / $1,460.12 / $1,640.26	Professional		$711.32	$1,460.12	$1,640.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $711.32 / $1,096.68 / $1,539.80	Facility		$711.32	$1,096.68	$1,539.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $875.67 / $1,102.13 / $2,135.91	Professional		$875.67	$1,102.13	$2,135.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $779.10 / $1,135.15 / $1,406.33	Facility		$779.10	$1,135.15	$1,406.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.41 / $1,525.95 / $4,681.00	Facility		$828.41	$1,525.95	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $907.35 / $1,344.64 / $1,869.89	Professional		$907.35	$1,344.64	$1,869.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,292.18 / $1,376.52 / $1,911.49	Professional		$1,292.18	$1,376.52	$1,911.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.09 / $1,137.16 / $1,829.90	Professional		$728.09	$1,137.16	$1,829.90