Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.22 / $7,920.26 / $13,746.00	Facility		$1,030.22	$7,920.26	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.13 / $727.72 / $1,683.64	Professional		$485.13	$727.72	$1,683.64
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 $636.62 / $1,024.98 / $1,566.52	Professional		$636.62	$1,024.98	$1,566.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.23 / $1,157.54 / $1,388.71	Professional		$988.23	$1,157.54	$1,388.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.72 / $982.42 / $1,326.00	Facility		$727.72	$982.42	$1,326.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $813.45 / $924.66 / $1,394.74	Professional		$813.45	$924.66	$1,394.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.43 / $984.72 / $1,067.31	Facility		$752.43	$984.72	$1,067.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.72 / $1,018.81 / $1,354.08	Facility		$727.72	$1,018.81	$1,354.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $924.43 / $1,062.25 / $1,444.87	Professional		$924.43	$1,062.25	$1,444.87
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 $970.52 / $1,243.33 / $1,671.06	Professional		$970.52	$1,243.33	$1,671.06
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 $746.64 / $1,067.25 / $1,578.77	Professional		$746.64	$1,067.25	$1,578.77