Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.08 / $7,920.26 / $20,400.00	Facility		$1,236.08	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.03 / $727.33 / $2,907.47	Professional		$474.03	$727.33	$2,907.47
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 $620.47 / $1,062.16 / $1,581.37	Professional		$620.47	$1,062.16	$1,581.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.72 / $1,236.58 / $1,483.56	Professional		$1,055.72	$1,236.58	$1,483.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $704.53 / $1,005.58 / $1,297.95	Facility		$704.53	$1,005.58	$1,297.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $832.11 / $970.80 / $1,497.80	Professional		$832.11	$970.80	$1,497.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $739.41 / $1,036.49 / $1,139.00	Facility		$739.41	$1,036.49	$1,139.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $716.95 / $1,067.25 / $5,949.00	Facility		$716.95	$1,067.25	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $915.70 / $1,128.47 / $1,549.10	Professional		$915.70	$1,128.47	$1,549.10
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 $1,006.74 / $1,326.85 / $1,783.30	Professional		$1,006.74	$1,326.85	$1,783.30
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 $750.12 / $1,118.48 / $1,789.47	Professional		$750.12	$1,118.48	$1,789.47