Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.83 / $7,920.26 / $20,400.00	Facility		$1,438.83	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.88 / $908.12 / $2,047.10	Professional		$594.88	$908.12	$2,047.10
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 $765.37 / $1,249.66 / $1,898.26	Professional		$765.37	$1,249.66	$1,898.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.57 / $1,426.16 / $1,710.99	Professional		$1,217.57	$1,426.16	$1,710.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $905.75 / $1,184.20 / $1,586.10	Facility		$905.75	$1,184.20	$1,586.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.15 / $1,143.90 / $1,717.90	Professional		$1,002.15	$1,143.90	$1,717.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $899.72 / $1,238.16 / $1,294.44	Facility		$899.72	$1,238.16	$1,294.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $905.75 / $1,184.20 / $1,659.57	Facility		$905.75	$1,184.20	$1,659.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,128.40 / $1,319.50 / $1,779.28	Professional		$1,128.40	$1,319.50	$1,779.28
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 $1,189.47 / $1,507.93 / $2,026.67	Professional		$1,189.47	$1,507.93	$2,026.67
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 $905.52 / $1,319.50 / $2,003.63	Professional		$905.52	$1,319.50	$2,003.63