Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.49 / $7,920.26 / $20,400.00	Facility		$1,422.49	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.63 / $806.32 / $1,630.62	Professional		$585.63	$806.32	$1,630.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.56 / $1,238.90 / $1,894.15	Professional		$761.56	$1,238.90	$1,894.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,210.93 / $1,418.39 / $1,701.67	Professional		$1,210.93	$1,418.39	$1,701.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $903.75 / $1,176.76 / $1,546.15	Facility		$903.75	$1,176.76	$1,546.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.98 / $1,140.18 / $1,724.00	Professional		$974.98	$1,140.18	$1,724.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $888.09 / $1,217.39 / $1,309.84	Facility		$888.09	$1,217.39	$1,309.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $904.50 / $1,275.02 / $3,865.00	Facility		$904.50	$1,275.02	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,111.53 / $1,303.40 / $1,789.79	Professional		$1,111.53	$1,303.40	$1,789.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,191.31 / $1,525.88 / $2,050.79	Professional		$1,191.31	$1,525.88	$2,050.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.99 / $1,343.94 / $1,990.72	Professional		$922.99	$1,343.94	$1,990.72