Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.44 / $7,920.26 / $20,400.00	Facility		$1,156.44	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.11 / $604.40 / $1,671.99	Professional		$401.11	$604.40	$1,671.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.60 / $991.80 / $1,514.49	Professional		$557.60	$991.80	$1,514.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.51 / $1,164.34 / $1,396.89	Professional		$992.51	$1,164.34	$1,396.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.39 / $876.80 / $1,141.09	Facility		$585.39	$876.80	$1,141.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $719.78 / $885.00 / $1,405.24	Professional		$719.78	$885.00	$1,405.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $608.09 / $875.60 / $1,066.64	Facility		$608.09	$875.60	$1,066.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.40 / $879.19 / $1,348.93	Facility		$604.40	$879.19	$1,348.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,049.58 / $1,446.24	Professional		$819.06	$1,049.58	$1,446.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $964.16 / $1,242.56 / $1,670.01	Professional		$964.16	$1,242.56	$1,670.01
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 $694.22 / $976.81 / $1,596.04	Professional		$694.22	$976.81	$1,596.04