Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.91 / $7,920.26 / $20,400.00	Facility		$1,365.91	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.80 / $869.11 / $1,969.65	Professional		$573.80	$869.11	$1,969.65
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 $765.64 / $1,220.92 / $1,813.90	Professional		$765.64	$1,220.92	$1,813.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.69 / $1,364.23 / $1,636.68	Professional		$1,164.69	$1,364.23	$1,636.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.77 / $1,182.96 / $1,521.69	Facility		$809.77	$1,182.96	$1,521.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $976.20 / $1,103.34 / $1,655.02	Professional		$976.20	$1,103.34	$1,655.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $828.45 / $1,156.00 / $1,258.93	Facility		$828.45	$1,156.00	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,266.09 / $5,217.00	Facility		$842.00	$1,266.09	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.25 / $1,250.25 / $1,717.72	Professional		$1,082.25	$1,250.25	$1,717.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,143.33 / $1,466.56 / $1,971.07	Professional		$1,143.33	$1,466.56	$1,971.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $1,248.56 / $1,909.86	Professional		$850.08	$1,248.56	$1,909.86