Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.07 / $7,920.26 / $20,400.00	Facility		$1,003.07	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.94 / $638.34 / $1,216.95	Professional		$422.94	$638.34	$1,216.95
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 $545.12 / $881.16 / $1,328.27	Professional		$545.12	$881.16	$1,328.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.79 / $1,007.96 / $1,209.26	Professional		$859.79	$1,007.96	$1,209.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $638.79 / $846.63 / $1,094.80	Facility		$638.79	$846.63	$1,094.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.40 / $809.89 / $1,214.83	Professional		$742.40	$809.89	$1,214.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $621.61 / $855.59 / $923.26	Facility		$621.61	$855.59	$923.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $638.79 / $912.54 / $5,217.00	Facility		$638.79	$912.54	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $788.71 / $921.25 / $1,256.64	Professional		$788.71	$921.25	$1,256.64
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 $836.44 / $1,075.53 / $1,445.52	Professional		$836.44	$1,075.53	$1,445.52
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 $633.57 / $905.10 / $1,433.45	Professional		$633.57	$905.10	$1,433.45