Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.71 / $2,747.00 / $13,746.00	Facility		$1,220.71	$2,747.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.05 / $815.30 / $1,878.66	Professional		$564.05	$815.30	$1,878.66
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 $805.54 / $1,287.39 / $1,853.97	Professional		$805.54	$1,287.39	$1,853.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.38 / $1,360.93 / $1,604.00	Professional		$1,084.38	$1,360.93	$1,604.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $795.76 / $1,116.96 / $1,843.80	Facility		$795.76	$1,116.96	$1,843.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $937.97 / $1,166.93 / $1,662.07	Professional		$937.97	$1,166.93	$1,662.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $881.59 / $1,284.26 / $1,591.20	Facility		$881.59	$1,284.26	$1,591.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $815.30 / $1,165.88 / $2,098.14	Facility		$815.30	$1,165.88	$2,098.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,032.59 / $1,304.80 / $1,757.76	Professional		$1,032.59	$1,304.80	$1,757.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,051.31 / $1,363.34 / $1,844.95	Professional		$1,051.31	$1,363.34	$1,844.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.50 / $1,428.98 / $2,054.38	Professional		$958.50	$1,428.98	$2,054.38