Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.04 / $5,649.00 / $15,341.00	Facility		$909.04	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.59 / $637.49 / $1,474.69	Professional		$350.59	$637.49	$1,474.69
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 $415.70 / $696.03 / $1,101.73	Professional		$415.70	$696.03	$1,101.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $865.16 / $961.58	Professional		$417.00	$865.16	$961.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $669.36 / $1,103.32	Facility		$417.00	$669.36	$1,103.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $624.24 / $693.42 / $1,231.10	Professional		$624.24	$693.42	$1,231.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $780.55 / $822.09	Facility		$555.66	$780.55	$822.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.28 / $943.65 / $4,681.00	Facility		$505.28	$943.65	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.09 / $784.73 / $1,088.57	Professional		$632.09	$784.73	$1,088.57
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 $744.80 / $804.67 / $1,119.15	Professional		$744.80	$804.67	$1,119.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.50 / $758.56 / $1,098.74	Professional		$526.50	$758.56	$1,098.74