Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.85 / $7,920.26 / $20,400.00	Facility		$1,492.85	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.32 / $927.99 / $2,151.58	Professional		$572.32	$927.99	$2,151.58
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 $791.41 / $1,282.70 / $1,940.45	Professional		$791.41	$1,282.70	$1,940.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,274.93 / $1,493.36 / $1,791.60	Professional		$1,274.93	$1,493.36	$1,791.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.00 / $1,232.17 / $1,586.10	Facility		$878.00	$1,232.17	$1,586.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.59 / $1,178.61 / $1,808.73	Professional		$1,056.59	$1,178.61	$1,808.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.74 / $1,260.27 / $1,374.17	Facility		$914.74	$1,260.27	$1,374.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $927.99 / $1,327.40 / $5,949.00	Facility		$927.99	$1,327.40	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.42 / $1,362.72 / $1,876.64	Professional		$1,148.42	$1,362.72	$1,876.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,914.95 / $21,418.17 / $26,781.36	Facility		$8,914.95	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,235.33 / $1,600.81 / $2,151.50	Professional		$1,235.33	$1,600.81	$2,151.50
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 $944.71 / $1,330.70 / $2,104.12	Professional		$944.71	$1,330.70	$2,104.12