Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.90 / $5,116.62 / $20,400.00	Facility		$600.90	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $869.28 / $2,006.69	Professional		$570.29	$869.28	$2,006.69
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 $740.95 / $1,209.21 / $1,848.88	Professional		$740.95	$1,209.21	$1,848.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,188.15 / $1,391.71 / $1,669.66	Professional		$1,188.15	$1,391.71	$1,669.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $873.02 / $1,152.58 / $1,511.30	Facility		$873.02	$1,152.58	$1,511.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $994.80 / $1,114.14 / $1,688.20	Professional		$994.80	$1,114.14	$1,688.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $861.93 / $1,187.91 / $1,282.38	Facility		$861.93	$1,187.91	$1,282.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $884.90 / $1,244.59 / $5,949.00	Facility		$884.90	$1,244.59	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,078.20 / $1,275.11 / $1,751.90	Professional		$1,078.20	$1,275.11	$1,751.90
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 $1,166.09 / $1,493.88 / $2,007.79	Professional		$1,166.09	$1,493.88	$2,007.79
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 $887.03 / $1,286.22 / $2,017.15	Professional		$887.03	$1,286.22	$2,017.15