Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.66 / $7,920.26 / $20,400.00	Facility		$1,088.66	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.89 / $698.11 / $1,565.88	Professional		$469.89	$698.11	$1,565.88
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 $628.94 / $1,050.58 / $1,510.37	Professional		$628.94	$1,050.58	$1,510.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.86 / $1,095.02 / $1,313.71	Professional		$934.86	$1,095.02	$1,313.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.11 / $963.24 / $1,466.25	Facility		$698.11	$963.24	$1,466.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $803.24 / $951.30 / $1,314.39	Professional		$803.24	$951.30	$1,314.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $798.92 / $981.55 / $1,129.61	Facility		$798.92	$981.55	$1,129.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.11 / $1,037.48 / $3,865.00	Facility		$698.11	$1,037.48	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $887.55 / $1,062.13 / $1,377.83	Professional		$887.55	$1,062.13	$1,377.83
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 $894.87 / $1,148.11 / $1,543.08	Professional		$894.87	$1,148.11	$1,543.08
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 $732.50 / $1,067.98 / $1,514.21	Professional		$732.50	$1,067.98	$1,514.21