Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.53 / $7,920.26 / $20,400.00	Facility		$1,024.53	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.06 / $716.08 / $1,629.91	Professional		$407.06	$716.08	$1,629.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.07 / $784.16 / $1,239.03	Professional		$487.07	$784.16	$1,239.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.97 / $973.70 / $1,081.89	Professional		$468.97	$973.70	$1,081.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $475.01 / $751.88 / $1,281.03	Facility		$475.01	$751.88	$1,281.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $688.35 / $781.17 / $1,387.68	Professional		$688.35	$781.17	$1,387.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $639.05 / $880.10 / $925.94	Facility		$639.05	$880.10	$925.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.66 / $1,077.63 / $6,437.00	Facility		$568.66	$1,077.63	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $713.70 / $887.25 / $1,223.50	Professional		$713.70	$887.25	$1,223.50
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 $839.52 / $906.32 / $1,260.13	Professional		$839.52	$906.32	$1,260.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.64 / $854.10 / $1,237.14	Professional		$602.64	$854.10	$1,237.14