Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.18 / $3,107.00 / $20,400.00	Facility		$1,130.18	$3,107.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.73 / $753.15 / $1,797.20	Professional		$488.73	$753.15	$1,797.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.83 / $1,194.19 / $1,806.02	Professional		$729.83	$1,194.19	$1,806.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.15 / $1,276.14 / $1,624.52	Professional		$1,055.15	$1,276.14	$1,624.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $684.52 / $1,055.94 / $1,534.64	Facility		$684.52	$1,055.94	$1,534.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $817.66 / $1,062.78 / $1,625.40	Professional		$817.66	$1,062.78	$1,625.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $772.64 / $1,153.07 / $1,351.16	Facility		$772.64	$1,153.07	$1,351.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.23 / $1,075.70 / $1,933.58	Facility		$718.23	$1,075.70	$1,933.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $955.08 / $1,268.52 / $1,748.56	Professional		$955.08	$1,268.52	$1,748.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $939.15 / $1,329.00 / $1,864.06	Professional		$939.15	$1,329.00	$1,864.06
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 $911.70 / $1,287.74 / $2,067.86	Professional		$911.70	$1,287.74	$2,067.86