Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.26 / $7,920.26 / $20,400.00	Facility		$1,247.26	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.88 / $792.80 / $1,798.37	Professional		$522.88	$792.80	$1,798.37
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 $710.16 / $1,115.98 / $1,648.25	Professional		$710.16	$1,115.98	$1,648.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.46 / $1,246.83 / $1,495.84	Professional		$1,064.46	$1,246.83	$1,495.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.80 / $1,123.92 / $1,525.39	Facility		$792.80	$1,123.92	$1,525.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $882.00 / $1,006.69 / $1,510.03	Professional		$882.00	$1,006.69	$1,510.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $775.18 / $1,052.27 / $1,149.05	Facility		$775.18	$1,052.27	$1,149.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.80 / $1,197.15 / $5,217.00	Facility		$792.80	$1,197.15	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,004.22 / $1,141.41 / $1,568.03	Professional		$1,004.22	$1,141.41	$1,568.03
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 $1,043.71 / $1,338.56 / $1,799.04	Professional		$1,043.71	$1,338.56	$1,799.04
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 $792.01 / $1,110.21 / $1,788.65	Professional		$792.01	$1,110.21	$1,788.65