Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.84 / $7,920.26 / $20,400.00	Facility		$1,555.84	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.64 / $1,019.74 / $2,216.23	Professional		$648.64	$1,019.74	$2,216.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.13 / $1,383.66 / $2,042.48	Professional		$858.13	$1,383.66	$2,042.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.80 / $1,544.93 / $1,853.47	Professional		$1,311.80	$1,544.93	$1,853.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.32 / $1,285.47 / $1,817.88	Facility		$919.32	$1,285.47	$1,817.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.60 / $1,235.04 / $1,828.82	Professional		$1,117.60	$1,235.04	$1,828.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.07 / $1,334.64 / $1,415.04	Facility		$963.07	$1,334.64	$1,415.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.32 / $1,326.96 / $1,817.88	Facility		$919.32	$1,326.96	$1,817.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,271.08 / $1,441.81 / $1,943.89	Professional		$1,271.08	$1,441.81	$1,943.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,629.08 / $16,468.63 / $21,141.18	Facility		$7,629.08	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,278.64 / $1,621.10 / $2,178.77	Professional		$1,278.64	$1,621.10	$2,178.77
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 $976.07 / $1,452.48 / $2,148.16	Professional		$976.07	$1,452.48	$2,148.16