Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.11 / $7,920.26 / $20,400.00	Facility		$1,249.11	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.61 / $782.10 / $1,484.49	Professional		$483.61	$782.10	$1,484.49
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 $665.37 / $1,080.44 / $1,653.39	Professional		$665.37	$1,080.44	$1,653.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.04 / $1,254.90 / $1,505.52	Professional		$1,071.04	$1,254.90	$1,505.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $795.09 / $1,037.88 / $1,352.70	Facility		$795.09	$1,037.88	$1,352.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $907.20 / $999.44 / $1,517.89	Professional		$907.20	$999.44	$1,517.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $775.20 / $1,060.60 / $1,153.07	Facility		$775.20	$1,060.60	$1,153.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $795.09 / $1,136.98 / $5,217.00	Facility		$795.09	$1,136.98	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $979.54 / $1,147.59 / $1,568.95	Professional		$979.54	$1,147.59	$1,568.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,044.33 / $1,343.24 / $1,805.33	Professional		$1,044.33	$1,343.24	$1,805.33
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 $794.65 / $1,108.08 / $1,789.68	Professional		$794.65	$1,108.08	$1,789.68