Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.03 / $4,962.67 / $15,341.00	Facility		$967.03	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.68 / $674.05 / $1,586.37	Professional		$390.68	$674.05	$1,586.37
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 $525.19 / $869.47 / $1,493.06	Professional		$525.19	$869.47	$1,493.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.99 / $1,010.21 / $1,395.79	Professional		$608.99	$1,010.21	$1,395.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $535.07 / $921.57 / $1,426.41	Facility		$535.07	$921.57	$1,426.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $699.72 / $950.55 / $1,381.37	Professional		$699.72	$950.55	$1,381.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.36 / $1,099.08 / $1,200.64	Facility		$724.36	$1,099.08	$1,200.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.94 / $1,059.91 / $3,065.00	Facility		$572.94	$1,059.91	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $775.57 / $1,065.55 / $1,424.80	Professional		$775.57	$1,065.55	$1,424.80
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 $794.00 / $1,129.63 / $1,558.38	Professional		$794.00	$1,129.63	$1,558.38
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 $781.43 / $1,103.99 / $1,593.03	Professional		$781.43	$1,103.99	$1,593.03