Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.03 / $7,920.26 / $20,400.00	Facility		$1,199.03	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.26 / $769.30 / $1,435.24	Professional		$540.26	$769.30	$1,435.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.36 / $1,072.06 / $1,589.14	Professional		$668.36	$1,072.06	$1,589.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.84 / $1,184.81 / $1,421.43	Professional		$1,004.84	$1,184.81	$1,421.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.63 / $1,033.92 / $1,407.60	Facility		$616.63	$1,033.92	$1,407.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $860.89 / $973.05 / $1,408.73	Professional		$860.89	$973.05	$1,408.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $769.63 / $1,051.94 / $1,099.47	Facility		$769.63	$1,051.94	$1,099.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.84 / $1,117.29 / $7,090.00	Facility		$730.84	$1,117.29	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $983.14 / $1,124.90 / $1,505.74	Professional		$983.14	$1,124.90	$1,505.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $992.05 / $1,261.29 / $1,695.18	Professional		$992.05	$1,261.29	$1,695.18
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 $791.11 / $1,120.69 / $1,671.07	Professional		$791.11	$1,120.69	$1,671.07