Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.67 / $7,920.26 / $20,400.00	Facility		$1,325.67	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.71 / $842.47 / $1,912.17	Professional		$555.71	$842.47	$1,912.17
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 $754.72 / $1,186.60 / $1,754.22	Professional		$754.72	$1,186.60	$1,754.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.67 / $1,326.72 / $1,591.69	Professional		$1,132.67	$1,326.72	$1,591.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $842.47 / $1,177.92 / $1,632.61	Facility		$842.47	$1,177.92	$1,632.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $942.60 / $1,071.32 / $1,606.99	Professional		$942.60	$1,071.32	$1,606.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $817.84 / $1,127.60 / $1,221.41	Facility		$817.84	$1,127.60	$1,221.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.47 / $1,260.38 / $5,217.00	Facility		$842.47	$1,260.38	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,069.25 / $1,219.08 / $1,666.90	Professional		$1,069.25	$1,219.08	$1,666.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,109.51 / $1,422.85 / $1,912.33	Professional		$1,109.51	$1,422.85	$1,912.33
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 $838.38 / $1,163.47 / $1,845.13	Professional		$838.38	$1,163.47	$1,845.13