Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.44 / $819.93 / $5,569.80	Professional		$516.44	$819.93	$5,569.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,133.27 / $1,357.79	Professional		$1,133.27	$1,133.27	$1,357.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,392.65 / $1,828.42 / $2,264.10	Professional		$1,392.65	$1,828.42	$2,264.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $819.93 / $886.31 / $1,787.52	Facility		$819.93	$886.31	$1,787.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.53 / $973.53 / $973.53	Professional		$973.53	$973.53	$973.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $561.65 / $812.24 / $5,544.22	Facility		$561.65	$812.24	$5,544.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.24 / $893.46 / $1,814.82	Facility		$812.24	$893.46	$1,814.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $974.69 / $986.00 / $1,721.95	Professional		$974.69	$986.00	$1,721.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$21,335.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,349.42 / $1,895.03 / $2,361.17	Professional		$1,349.42	$1,895.03	$2,361.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.11 / $1,095.19 / $2,662.30	Professional		$453.11	$1,095.19	$2,662.30