Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.95 / $4,962.67 / $15,341.00	Facility		$1,051.95	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $705.55 / $1,598.16	Professional		$414.89	$705.55	$1,598.16
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 $567.37 / $937.79 / $1,608.15	Professional		$567.37	$937.79	$1,608.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.70 / $1,112.83 / $1,487.27	Professional		$651.70	$1,112.83	$1,487.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $516.57 / $936.00 / $1,540.48	Facility		$516.57	$936.00	$1,540.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $757.88 / $1,010.86 / $1,506.57	Professional		$757.88	$1,010.86	$1,506.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $732.44 / $1,174.54 / $1,284.39	Facility		$732.44	$1,174.54	$1,284.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.35 / $1,097.23 / $3,065.00	Facility		$601.35	$1,097.23	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $1,146.89 / $1,526.40	Professional		$816.00	$1,146.89	$1,526.40
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 $861.66 / $1,225.88 / $1,676.61	Professional		$861.66	$1,225.88	$1,676.61
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 $810.89 / $1,166.07 / $1,715.40	Professional		$810.89	$1,166.07	$1,715.40