Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.01 / $7,920.26 / $20,400.00	Facility		$1,121.01	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $678.27 / $1,618.67	Professional		$447.70	$678.27	$1,618.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.13 / $963.36 / $1,470.25	Professional		$572.13	$963.36	$1,470.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.73 / $1,126.16 / $1,351.07	Professional		$959.73	$1,126.16	$1,351.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $682.49 / $901.18 / $1,198.50	Facility		$682.49	$901.18	$1,198.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $784.20 / $887.84 / $1,358.94	Professional		$784.20	$887.84	$1,358.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.61 / $944.03 / $1,032.47	Facility		$668.61	$944.03	$1,032.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $694.52 / $997.58 / $5,949.00	Facility		$694.52	$997.58	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $853.72 / $1,024.58 / $1,407.25	Professional		$853.72	$1,024.58	$1,407.25
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 $935.99 / $1,202.75 / $1,616.51	Professional		$935.99	$1,202.75	$1,616.51
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 $690.24 / $969.36 / $1,550.74	Professional		$690.24	$969.36	$1,550.74