Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.69 / $7,920.26 / $20,400.00	Facility		$1,321.69	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.03 / $835.85 / $1,904.81	Professional		$549.03	$835.85	$1,904.81
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 $716.30 / $1,157.95 / $1,753.19	Professional		$716.30	$1,157.95	$1,753.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,126.81 / $1,319.86 / $1,583.46	Professional		$1,126.81	$1,319.86	$1,583.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $1,105.92 / $1,439.90	Facility		$795.00	$1,105.92	$1,439.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $943.20 / $1,061.31 / $1,600.86	Professional		$943.20	$1,061.31	$1,600.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.99 / $1,124.26 / $1,217.39	Facility		$812.99	$1,124.26	$1,217.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $835.85 / $1,188.60 / $5,217.00	Facility		$835.85	$1,188.60	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,037.52 / $1,209.48 / $1,662.28	Professional		$1,037.52	$1,209.48	$1,662.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,106.44 / $1,418.17 / $1,906.03	Professional		$1,106.44	$1,418.17	$1,906.03
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 $855.78 / $1,181.16 / $1,846.21	Professional		$855.78	$1,181.16	$1,846.21