Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.75 / $4,962.67 / $15,341.00	Facility		$1,327.75	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.94 / $716.80 / $1,489.43	Professional		$528.94	$716.80	$1,489.43
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 $608.69 / $1,017.03 / $1,607.24	Professional		$608.69	$1,017.03	$1,607.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.34 / $1,265.27 / $1,405.85	Professional		$608.34	$1,265.27	$1,405.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.41 / $949.44 / $1,705.88	Facility		$627.41	$949.44	$1,705.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $1,014.95 / $1,798.38	Professional		$894.40	$1,014.95	$1,798.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.75 / $1,143.69 / $1,206.00	Facility		$760.75	$1,143.69	$1,206.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.58 / $1,398.83 / $4,681.00	Facility		$713.58	$1,398.83	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $927.18 / $1,149.84 / $1,588.18	Professional		$927.18	$1,149.84	$1,588.18
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 Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,087.99 / $1,173.88 / $1,637.01	Professional		$1,087.99	$1,173.88	$1,637.01
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 $769.95 / $1,126.61 / $1,607.14	Professional		$769.95	$1,126.61	$1,607.14