Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.98 / $7,920.26 / $20,400.00	Facility		$1,034.98	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.66 / $713.71 / $1,377.90	Professional		$495.66	$713.71	$1,377.90
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 $651.66 / $1,062.60 / $1,558.66	Professional		$651.66	$1,062.60	$1,558.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.87 / $1,115.95 / $1,313.73	Professional		$934.87	$1,115.95	$1,313.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $713.71 / $1,020.61 / $1,498.50	Facility		$713.71	$1,020.61	$1,498.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $849.14 / $993.92 / $1,389.50	Professional		$849.14	$993.92	$1,389.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.81 / $1,004.28 / $1,074.40	Facility		$771.81	$1,004.28	$1,074.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.71 / $1,066.67 / $1,352.37	Facility		$713.71	$1,066.67	$1,352.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $963.48 / $1,116.50 / $1,466.13	Professional		$963.48	$1,116.50	$1,466.13
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 $969.29 / $1,237.08 / $1,662.67	Professional		$969.29	$1,237.08	$1,662.67
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 $761.46 / $1,095.90 / $1,661.10	Professional		$761.46	$1,095.90	$1,661.10