Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.52 / $7,920.26 / $21,735.00	Facility		$1,019.52	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.59 / $626.09 / $1,474.11	Professional		$412.59	$626.09	$1,474.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.04 / $881.89 / $1,350.90	Professional		$532.04	$881.89	$1,350.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $872.59 / $1,022.78 / $1,227.05	Professional		$872.59	$1,022.78	$1,227.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $638.36 / $830.88 / $1,106.70	Facility		$638.36	$830.88	$1,106.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.20 / $809.47 / $1,235.79	Professional		$712.20	$809.47	$1,235.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $621.13 / $859.32 / $941.35	Facility		$621.13	$859.32	$941.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.30 / $921.14 / $8,647.00	Facility		$648.30	$921.14	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.42 / $932.23 / $1,280.66	Professional		$784.42	$932.23	$1,280.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $852.44 / $1,096.59 / $1,473.85	Professional		$852.44	$1,096.59	$1,473.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $906.51 / $1,419.18	Professional		$638.96	$906.51	$1,419.18