Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.27 / $5,116.62 / $20,400.00	Facility		$1,025.27	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.94 / $638.14 / $1,676.57	Professional		$403.94	$638.14	$1,676.57
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 $565.47 / $991.43 / $1,560.79	Professional		$565.47	$991.43	$1,560.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.96 / $1,167.99 / $1,401.25	Professional		$993.96	$1,167.99	$1,401.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.78 / $872.50 / $1,207.71	Facility		$592.78	$872.50	$1,207.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $719.58 / $934.01 / $1,441.04	Professional		$719.58	$934.01	$1,441.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.33 / $956.09 / $1,095.45	Facility		$645.33	$956.09	$1,095.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.78 / $962.86 / $5,217.00	Facility		$592.78	$962.86	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $829.80 / $1,074.40 / $1,490.41	Professional		$829.80	$1,074.40	$1,490.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $992.05 / $1,276.11 / $1,715.12	Professional		$992.05	$1,276.11	$1,715.12
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 $690.00 / $1,011.14 / $1,617.59	Professional		$690.00	$1,011.14	$1,617.59