Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.00 / $7,920.26 / $20,400.00	Facility		$1,526.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.33 / $957.14 / $2,192.91	Professional		$665.33	$957.14	$2,192.91
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 $848.73 / $1,438.59 / $2,096.56	Professional		$848.73	$1,438.59	$2,096.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.64 / $1,505.20 / $1,778.54	Professional		$1,265.64	$1,505.20	$1,778.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $957.14 / $1,368.71 / $2,029.05	Facility		$957.14	$1,368.71	$2,029.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.32 / $1,319.40 / $1,869.86	Professional		$1,177.32	$1,319.40	$1,869.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,054.27 / $1,354.59 / $1,501.44	Facility		$1,054.27	$1,354.59	$1,501.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $957.14 / $1,435.76 / $1,857.74	Facility		$957.14	$1,435.76	$1,857.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,292.97 / $1,516.08 / $1,963.44	Professional		$1,292.97	$1,516.08	$1,963.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,300.17 / $1,664.03 / $2,236.46	Professional		$1,300.17	$1,664.03	$2,236.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.51 / $1,480.36 / $2,249.10	Professional		$1,035.51	$1,480.36	$2,249.10