Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.61 / $9,972.00 / $20,400.00	Facility		$1,113.61	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $775.90 / $1,807.46	Professional		$429.83	$775.90	$1,807.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.73 / $794.51 / $1,313.54	Professional		$530.73	$794.51	$1,313.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.11 / $1,059.24 / $1,176.93	Professional		$508.11	$1,059.24	$1,176.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.11 / $904.41 / $1,357.86	Facility		$508.11	$904.41	$1,357.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $764.49 / $849.66 / $1,508.67	Professional		$764.49	$849.66	$1,508.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $687.47 / $941.89 / $1,003.66	Facility		$687.47	$941.89	$1,003.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $618.63 / $1,109.54 / $8,343.00	Facility		$618.63	$1,109.54	$8,343.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $775.83 / $963.46 / $1,331.99	Professional		$775.83	$963.46	$1,331.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.70 / $982.39 / $1,374.25	Professional		$912.70	$982.39	$1,374.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.65 / $931.44 / $1,349.16	Professional		$646.65	$931.44	$1,349.16