Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.08 / $5,649.00 / $15,341.00	Facility		$1,101.08	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.59 / $769.90 / $1,718.06	Professional		$427.59	$769.90	$1,718.06
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 $502.36 / $842.60 / $1,333.53	Professional		$502.36	$842.60	$1,333.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.74 / $1,046.85 / $1,163.90	Professional		$504.74	$1,046.85	$1,163.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.74 / $782.35 / $1,367.11	Facility		$504.74	$782.35	$1,367.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $726.70 / $839.48 / $1,491.39	Professional		$726.70	$839.48	$1,491.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.62 / $938.60 / $994.95	Facility		$679.62	$938.60	$994.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $1,156.32 / $4,681.00	Facility		$604.00	$1,156.32	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.19 / $953.55 / $1,312.85	Professional		$765.19	$953.55	$1,312.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,678.59 / $12,937.69 / $16,102.64	Facility		$10,678.59	$12,937.69	$16,102.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $902.25 / $973.86 / $1,352.19	Professional		$902.25	$973.86	$1,352.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $15,109.01	Facility		$1,981.00	$9,529.00	$15,109.01
United Facility/Professional Professional Modifier Low / Median / High Price $636.75 / $916.49 / $1,327.50	Professional		$636.75	$916.49	$1,327.50