Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.42 / $2,747.00 / $13,320.00	Facility		$1,243.42	$2,747.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.69 / $697.71 / $1,903.52	Professional		$441.69	$697.71	$1,903.52
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 $621.33 / $1,170.99 / $1,946.72	Professional		$621.33	$1,170.99	$1,946.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,238.72 / $1,515.01 / $1,873.53	Professional		$1,238.72	$1,515.01	$1,873.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.50 / $998.44 / $1,505.44	Facility		$606.50	$998.44	$1,505.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $783.90 / $1,046.29 / $1,782.57	Professional		$783.90	$1,046.29	$1,782.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $720.79 / $1,146.48 / $1,528.94	Facility		$720.79	$1,146.48	$1,528.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.50 / $998.44 / $1,667.83	Facility		$606.50	$998.44	$1,667.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $898.26 / $1,320.70 / $1,843.19	Professional		$898.26	$1,320.70	$1,843.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,022.80 / $1,422.85 / $1,946.96	Professional		$1,022.80	$1,422.85	$1,946.96
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 $824.79 / $1,216.18 / $1,989.44	Professional		$824.79	$1,216.18	$1,989.44