Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.68 / $7,074.00 / $20,400.00	Facility		$1,142.68	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.77 / $639.91 / $1,445.65	Professional		$487.77	$639.91	$1,445.65
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 $674.19 / $1,102.60 / $1,684.26	Professional		$674.19	$1,102.60	$1,684.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.82 / $1,271.83 / $1,525.85	Professional		$1,085.82	$1,271.83	$1,525.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $755.49 / $1,051.20 / $1,378.70	Facility		$755.49	$1,051.20	$1,378.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $905.40 / $1,014.94 / $1,541.48	Professional		$905.40	$1,014.94	$1,541.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $783.44 / $1,082.72 / $1,171.83	Facility		$783.44	$1,082.72	$1,171.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.16 / $1,134.05 / $5,217.00	Facility		$792.16	$1,134.05	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $983.40 / $1,164.77 / $1,601.29	Professional		$983.40	$1,164.77	$1,601.29
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 $1,065.83 / $1,365.09 / $1,834.70	Professional		$1,065.83	$1,365.09	$1,834.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.67 / $1,134.35 / $1,795.40	Professional		$772.67	$1,134.35	$1,795.40