Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,183.47 / $3,107.00 / $20,400.00	Facility		$1,183.47	$3,107.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.79 / $784.13 / $1,718.34	Professional		$543.79	$784.13	$1,718.34
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 $815.09 / $1,280.29 / $1,809.67	Professional		$815.09	$1,280.29	$1,809.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.19 / $1,336.66 / $1,559.54	Professional		$1,043.19	$1,336.66	$1,559.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $784.13 / $1,137.30 / $1,737.35	Facility		$784.13	$1,137.30	$1,737.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $933.53 / $1,173.59 / $1,629.36	Professional		$933.53	$1,173.59	$1,629.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.10 / $1,261.34 / $1,520.48	Facility		$891.10	$1,261.34	$1,520.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.13 / $1,180.61 / $2,037.66	Facility		$784.13	$1,180.61	$2,037.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,012.48 / $1,292.76 / $1,727.28	Professional		$1,012.48	$1,292.76	$1,727.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,022.37 / $1,364.06 / $1,822.78	Professional		$1,022.37	$1,364.06	$1,822.78
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 $963.53 / $1,453.42 / $1,995.21	Professional		$963.53	$1,453.42	$1,995.21