Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.45 / $7,920.26 / $20,400.00	Facility		$1,066.45	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.56 / $639.71 / $1,545.08	Professional		$422.56	$639.71	$1,545.08
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 $537.36 / $912.11 / $1,388.97	Professional		$537.36	$912.11	$1,388.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.51 / $1,075.17 / $1,289.90	Professional		$915.51	$1,075.17	$1,289.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $544.09 / $818.64 / $1,089.79	Facility		$544.09	$818.64	$1,089.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.49 / $839.48 / $1,295.19	Professional		$713.49	$839.48	$1,295.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.82 / $872.34 / $985.57	Facility		$630.82	$872.34	$985.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.57 / $839.52 / $1,243.39	Facility		$595.57	$839.52	$1,243.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $790.43 / $969.00 / $1,338.88	Professional		$790.43	$969.00	$1,338.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $884.25 / $1,148.11 / $1,543.08	Professional		$884.25	$1,148.11	$1,543.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.10 / $952.70 / $1,467.70	Professional		$644.10	$952.70	$1,467.70