Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.78 / $7,920.26 / $20,400.00	Facility		$1,292.78	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $775.47 / $1,855.16	Professional		$516.91	$775.47	$1,855.16
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 $642.54 / $1,112.60 / $1,698.66	Professional		$642.54	$1,112.60	$1,698.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.43 / $1,287.79 / $1,544.98	Professional		$1,099.43	$1,287.79	$1,544.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $772.61 / $1,002.24 / $1,375.31	Facility		$772.61	$1,002.24	$1,375.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $857.31 / $1,020.00 / $1,554.58	Professional		$857.31	$1,020.00	$1,554.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $743.36 / $1,087.58 / $1,181.21	Facility		$743.36	$1,087.58	$1,181.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.61 / $1,065.16 / $1,503.39	Facility		$772.61	$1,065.16	$1,503.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $972.84 / $1,177.76 / $1,618.85	Professional		$972.84	$1,177.76	$1,618.85
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 $1,077.53 / $1,376.02 / $1,849.39	Professional		$1,077.53	$1,376.02	$1,849.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.52 / $1,121.58 / $1,805.24	Professional		$803.52	$1,121.58	$1,805.24