Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.06 / $7,920.26 / $20,400.00	Facility		$1,112.06	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.40 / $688.55 / $1,604.72	Professional		$455.40	$688.55	$1,604.72
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 $586.09 / $958.63 / $1,458.94	Professional		$586.09	$958.63	$1,458.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $951.54 / $1,116.07 / $1,338.97	Professional		$951.54	$1,116.07	$1,338.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $706.96 / $908.52 / $1,190.84	Facility		$706.96	$908.52	$1,190.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $879.16 / $1,347.60	Professional		$780.00	$879.16	$1,347.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $686.98 / $936.19 / $1,023.76	Facility		$686.98	$936.19	$1,023.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $706.96 / $989.74 / $5,217.00	Facility		$706.96	$989.74	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $854.92 / $1,013.22 / $1,396.16	Professional		$854.92	$1,013.22	$1,396.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $928.79 / $1,192.59 / $1,602.87	Professional		$928.79	$1,192.59	$1,602.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,830.35	Facility		$2,155.00	$13,246.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $986.70 / $1,566.42	Professional		$713.50	$986.70	$1,566.42