Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.78 / $5,649.00 / $15,341.00	Facility		$974.78	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.55 / $678.48 / $1,544.30	Professional		$385.55	$678.48	$1,544.30
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 $442.05 / $738.63 / $1,181.85	Professional		$442.05	$738.63	$1,181.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.34 / $929.80 / $1,033.10	Professional		$447.34	$929.80	$1,033.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.22 / $707.94 / $1,239.38	Facility		$457.22	$707.94	$1,239.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $666.90 / $746.08 / $1,320.57	Professional		$666.90	$746.08	$1,320.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $603.20 / $832.81 / $879.04	Facility		$603.20	$832.81	$879.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $543.04 / $1,024.63 / $4,681.00	Facility		$543.04	$1,024.63	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.38 / $844.35 / $1,163.33	Professional		$673.38	$844.35	$1,163.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $798.92 / $860.41 / $1,192.04	Professional		$798.92	$860.41	$1,192.04
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 $572.12 / $807.94 / $1,170.27	Professional		$572.12	$807.94	$1,170.27