Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.10 / $7,920.26 / $20,400.00	Facility		$1,386.10	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.59 / $853.51 / $1,999.71	Professional		$559.59	$853.51	$1,999.71
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 $723.82 / $1,200.70 / $1,839.62	Professional		$723.82	$1,200.70	$1,839.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,184.51 / $1,387.45 / $1,664.54	Professional		$1,184.51	$1,387.45	$1,664.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $820.12 / $1,128.08 / $1,509.60	Facility		$820.12	$1,128.08	$1,509.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $988.20 / $1,108.56 / $1,681.21	Professional		$988.20	$1,108.56	$1,681.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $856.11 / $1,181.88 / $1,277.69	Facility		$856.11	$1,181.88	$1,277.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $853.51 / $1,233.84 / $7,090.00	Facility		$853.51	$1,233.84	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.54 / $1,269.48 / $1,742.66	Professional		$1,066.54	$1,269.48	$1,742.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,159.95 / $1,488.41 / $2,000.44	Professional		$1,159.95	$1,488.41	$2,000.44
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 $879.06 / $1,242.27 / $1,934.66	Professional		$879.06	$1,242.27	$1,934.66