Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.52 / $4,684.68 / $8,728.00	Facility		$117.52	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $1,117.89 / $2,399.94	Professional		$65.81	$1,117.89	$2,399.94
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 $68.38 / $164.62 / $3,215.77	Professional		$68.38	$164.62	$3,215.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $194.25 / $3,043.46	Professional		$80.63	$194.25	$3,043.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $1,131.35 / $3,379.08	Facility		$60.03	$1,131.35	$3,379.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $1,814.10 / $2,861.17	Professional		$73.59	$1,814.10	$2,861.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $2,186.88 / $2,701.64	Facility		$109.21	$2,186.88	$2,701.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $1,560.53 / $3,408.37	Facility		$62.93	$1,560.53	$3,408.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $1,417.38 / $3,194.15	Professional		$98.04	$1,417.38	$3,194.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,274.53 / $2,981.90 / $3,790.07	Facility		$2,274.53	$2,981.90	$3,790.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $148.65 / $3,474.63	Professional		$95.33	$148.65	$3,474.63
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 $1,819.54 / $2,587.00 / $3,747.17	Professional		$1,819.54	$2,587.00	$3,747.17