Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.24 / $4,962.67 / $15,341.00	Facility		$1,094.24	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.70 / $768.09 / $2,228.64	Professional		$424.70	$768.09	$2,228.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.83 / $1,004.76 / $1,745.09	Professional		$588.83	$1,004.76	$1,745.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.61 / $1,146.63 / $1,611.25	Professional		$705.61	$1,146.63	$1,611.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.78 / $984.52 / $1,641.63	Facility		$520.78	$984.52	$1,641.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $782.96 / $1,097.52 / $1,559.06	Professional		$782.96	$1,097.52	$1,559.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $799.98 / $1,273.33 / $1,394.94	Facility		$799.98	$1,273.33	$1,394.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.54 / $1,091.88 / $1,780.56	Facility		$583.54	$1,091.88	$1,780.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $873.83 / $1,229.28 / $1,660.00	Professional		$873.83	$1,229.28	$1,660.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $896.71 / $1,283.04 / $1,825.12	Professional		$896.71	$1,283.04	$1,825.12
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 $895.05 / $1,296.09 / $1,877.36	Professional		$895.05	$1,296.09	$1,877.36