Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $15,848.93	Facility		$1,000.00	$1,288.25	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,380.38	Professional		$512.86	$602.56	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,348.96	Professional		$562.34	$794.33	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $912.01 / $1,023.29	Professional		$446.68	$912.01	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,445.44	Facility		$512.86	$776.25	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,288.25	Professional		$707.95	$851.14	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $954.99 / $1,000.00	Facility		$758.58	$954.99	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,258.93	Facility		$501.19	$831.76	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $1,288.25	Professional		$79.43	$912.01	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,288.25	Professional		$912.01	$1,071.52	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,348.96	Professional		$616.60	$912.01	$1,348.96