Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.24 / $7,920.26 / $20,400.00	Facility		$1,050.24	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.88 / $617.49 / $1,519.24	Professional		$401.88	$617.49	$1,519.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.35 / $904.96 / $1,384.86	Professional		$510.35	$904.96	$1,384.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.72 / $1,055.98 / $1,266.86	Professional		$899.72	$1,055.98	$1,266.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $565.91 / $845.02 / $1,141.55	Facility		$565.91	$845.02	$1,141.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $723.18 / $825.32 / $1,273.34	Professional		$723.18	$825.32	$1,273.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $627.69 / $887.51 / $969.49	Facility		$627.69	$887.51	$969.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.70 / $897.61 / $1,436.48	Facility		$619.70	$897.61	$1,436.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.12 / $956.28 / $1,318.55	Professional		$771.12	$956.28	$1,318.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $877.65 / $1,129.38 / $1,517.90	Professional		$877.65	$1,129.38	$1,517.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.99 / $932.19 / $1,456.92	Professional		$630.99	$932.19	$1,456.92