Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.11 / $7,920.26 / $20,400.00	Facility		$1,149.11	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.85 / $789.99 / $1,844.58	Professional		$517.85	$789.99	$1,844.58
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 $670.55 / $1,109.33 / $1,693.52	Professional		$670.55	$1,109.33	$1,693.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.90 / $1,278.96 / $1,534.39	Professional		$1,091.90	$1,278.96	$1,534.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $754.46 / $1,044.72 / $1,382.95	Facility		$754.46	$1,044.72	$1,382.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $910.80 / $1,018.66 / $1,550.21	Professional		$910.80	$1,018.66	$1,550.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.58 / $1,086.74 / $1,178.53	Facility		$794.58	$1,086.74	$1,178.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $786.19 / $1,138.38 / $5,949.00	Facility		$786.19	$1,138.38	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $985.80 / $1,171.33 / $1,610.53	Professional		$985.80	$1,171.33	$1,610.53
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 $1,071.38 / $1,372.90 / $1,845.19	Professional		$1,071.38	$1,372.90	$1,845.19
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 $794.07 / $1,114.96 / $1,783.67	Professional		$794.07	$1,114.96	$1,783.67