Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.05 / $7,920.26 / $20,400.00	Facility		$1,623.05	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.90 / $978.85 / $2,339.23	Professional		$649.90	$978.85	$2,339.23
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 $846.15 / $1,400.27 / $2,165.77	Professional		$846.15	$1,400.27	$2,165.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.77 / $1,620.84 / $1,944.55	Professional		$1,383.77	$1,620.84	$1,944.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $942.37 / $1,320.48 / $1,778.20	Facility		$942.37	$1,320.48	$1,778.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.16 / $1,279.78 / $1,967.68	Professional		$1,093.16	$1,279.78	$1,967.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,005.50 / $1,380.09 / $1,495.44	Facility		$1,005.50	$1,380.09	$1,495.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.37 / $1,343.54 / $1,896.40	Facility		$942.37	$1,343.54	$1,896.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,248.48 / $1,486.10 / $2,042.04	Professional		$1,248.48	$1,486.10	$2,042.04
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 $1,359.21 / $1,742.08 / $2,341.37	Professional		$1,359.21	$1,742.08	$2,341.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.63 / $1,428.00 / $2,272.19	Professional		$1,025.63	$1,428.00	$2,272.19