Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.13 / $7,920.26 / $20,400.00	Facility		$1,543.13	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.55 / $971.20 / $2,220.96	Professional		$634.55	$971.20	$2,220.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.79 / $1,346.81 / $2,058.77	Professional		$827.79	$1,346.81	$2,058.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.38 / $1,536.05 / $1,842.83	Professional		$1,311.38	$1,536.05	$1,842.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.69 / $1,274.72 / $1,688.95	Facility		$923.69	$1,274.72	$1,688.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.40 / $1,237.91 / $1,867.24	Professional		$1,112.40	$1,237.91	$1,867.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.95 / $1,320.57 / $1,420.40	Facility		$954.95	$1,320.57	$1,420.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $971.20 / $1,384.99 / $7,090.00	Facility		$971.20	$1,384.99	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,204.66 / $1,413.16 / $1,942.25	Professional		$1,204.66	$1,413.16	$1,942.25
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 $1,292.79 / $1,654.66 / $2,223.88	Professional		$1,292.79	$1,654.66	$2,223.88
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 $988.41 / $1,384.83 / $2,164.36	Professional		$988.41	$1,384.83	$2,164.36