Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.46 / $7,920.26 / $20,400.00	Facility		$1,384.46	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $858.31 / $1,996.21	Professional		$562.79	$858.31	$1,996.21
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 $730.18 / $1,201.90 / $1,837.56	Professional		$730.18	$1,201.90	$1,837.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.72 / $1,384.18 / $1,660.62	Professional		$1,181.72	$1,384.18	$1,660.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.59 / $1,137.59 / $1,496.85	Facility		$828.59	$1,137.59	$1,496.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $939.42 / $1,109.18 / $1,678.59	Professional		$939.42	$1,109.18	$1,678.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $853.69 / $1,179.20 / $1,275.68	Facility		$853.69	$1,179.20	$1,275.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $836.18 / $1,233.09 / $5,217.00	Facility		$836.18	$1,233.09	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,064.97 / $1,268.08 / $1,740.82	Professional		$1,064.97	$1,268.08	$1,740.82
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 $1,158.72 / $1,486.07 / $1,997.30	Professional		$1,158.72	$1,486.07	$1,997.30
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 $878.08 / $1,273.93 / $1,932.51	Professional		$878.08	$1,273.93	$1,932.51