Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.15 / $4,684.68 / $8,728.00	Facility		$1,067.15	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.92 / $878.13 / $1,656.34	Professional		$533.92	$878.13	$1,656.34
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 $559.71 / $901.15 / $1,386.51	Professional		$559.71	$901.15	$1,386.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.28 / $1,078.53 / $1,232.59	Professional		$535.28	$1,078.53	$1,232.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $550.71 / $955.27 / $1,650.60	Facility		$550.71	$955.27	$1,650.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $789.99 / $907.20 / $1,590.99	Professional		$789.99	$907.20	$1,590.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $727.38 / $1,013.04 / $1,407.00	Facility		$727.38	$1,013.04	$1,407.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.62 / $1,063.49 / $1,650.60	Facility		$626.62	$1,063.49	$1,650.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $837.29 / $1,013.34 / $1,437.40	Professional		$837.29	$1,013.34	$1,437.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $901.02 / $1,013.18 / $1,400.70	Professional		$901.02	$1,013.18	$1,400.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,261.00 / $7,480.00	Facility		$1,106.00	$2,261.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.68 / $1,043.27 / $1,570.64	Professional		$784.68	$1,043.27	$1,570.64