Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.98 / $7,920.26 / $20,400.00	Facility		$1,505.98	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.66 / $968.19 / $2,147.94	Professional		$625.66	$968.19	$2,147.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.27 / $1,346.08 / $1,931.19	Professional		$781.27	$1,346.08	$1,931.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.22 / $1,495.02 / $1,793.60	Professional		$1,265.22	$1,495.02	$1,793.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.85 / $1,325.52 / $1,831.81	Facility		$718.85	$1,325.52	$1,831.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.44 / $1,252.22 / $1,772.90	Professional		$1,083.44	$1,252.22	$1,772.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $995.65 / $1,264.96 / $1,446.53	Facility		$995.65	$1,264.96	$1,446.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.84 / $1,406.81 / $5,949.00	Facility		$869.84	$1,406.81	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,208.32 / $1,392.19 / $1,863.62	Professional		$1,208.32	$1,392.19	$1,863.62
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 $1,245.44 / $1,579.73 / $2,123.17	Professional		$1,245.44	$1,579.73	$2,123.17
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 $937.00 / $1,386.76 / $2,020.93	Professional		$937.00	$1,386.76	$2,020.93