Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,786.30 / $13,803.84	Facility		$891.25	$4,786.30	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,089.30 / $4,677.35	Professional		$457.09	$2,089.30	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,659.59 / $5,495.41	Professional		$549.54	$1,659.59	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $5,128.61	Professional		$724.44	$1,071.52	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,238.72 / $5,248.07	Facility		$478.63	$2,238.72	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,344.23 / $5,128.61	Professional		$660.69	$2,344.23	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $4,570.88	Facility		$2,884.03	$3,981.07	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,949.84 / $4,897.79	Facility		$457.09	$1,949.84	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $5,370.32	Professional		$79.43	$1,174.90	$5,370.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,803.84 / $16,595.87	Facility		$10,715.19	$13,803.84	$16,595.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $5,495.41	Professional		$851.14	$1,380.38	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,949.84 / $5,623.41	Professional		$630.96	$1,949.84	$5,623.41