Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.05 / $4,704.00 / $8,728.00	Facility		$1,050.05	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $488.92 / $1,168.31	Professional		$346.55	$488.92	$1,168.31
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 $447.00 / $686.46 / $1,253.91	Professional		$447.00	$686.46	$1,253.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.23 / $973.47 / $1,095.84	Professional		$475.23	$973.47	$1,095.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $475.23 / $736.61 / $1,083.88	Facility		$475.23	$736.61	$1,083.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.44 / $734.40 / $1,423.26	Professional		$616.44	$734.40	$1,423.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $540.70 / $767.15 / $938.67	Facility		$540.70	$767.15	$938.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.85 / $838.28 / $1,201.33	Facility		$501.85	$838.28	$1,201.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.08 / $896.00 / $1,246.00	Professional		$622.08	$896.00	$1,246.00
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 $861.04 / $918.78 / $1,273.72	Professional		$861.04	$918.78	$1,273.72
United Facility/Professional Facility Modifier Low / Median / High Price $559.47 / $4,113.00 / $6,216.00	Facility		$559.47	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.88 / $791.70 / $1,247.23	Professional		$518.88	$791.70	$1,247.23