Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.58 / $7,920.26 / $20,400.00	Facility		$1,267.58	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.79 / $784.73 / $1,827.16	Professional		$515.79	$784.73	$1,827.16
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 $667.21 / $1,096.33 / $1,658.54	Professional		$667.21	$1,096.33	$1,658.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.01 / $1,268.55 / $1,521.90	Professional		$1,083.01	$1,268.55	$1,521.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $750.68 / $1,030.50 / $1,336.50	Facility		$750.68	$1,030.50	$1,336.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $864.78 / $1,011.22 / $1,536.22	Professional		$864.78	$1,011.22	$1,536.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $733.95 / $1,044.55 / $1,167.14	Facility		$733.95	$1,044.55	$1,167.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $777.99 / $1,127.32 / $5,217.00	Facility		$777.99	$1,127.32	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $968.22 / $1,155.91 / $1,587.00	Professional		$968.22	$1,155.91	$1,587.00
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 $1,055.85 / $1,359.63 / $1,827.36	Professional		$1,055.85	$1,359.63	$1,827.36
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 $792.95 / $1,109.08 / $1,763.17	Professional		$792.95	$1,109.08	$1,763.17