Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.36 / $5,116.62 / $13,746.00	Facility		$1,200.36	$5,116.62	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.23 / $752.75 / $2,253.23	Professional		$533.23	$752.75	$2,253.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.54 / $1,157.08 / $1,768.63	Professional		$707.54	$1,157.08	$1,768.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.00 / $1,338.82 / $1,606.20	Professional		$1,143.00	$1,338.82	$1,606.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $838.83 / $1,104.48 / $1,452.65	Facility		$838.83	$1,104.48	$1,452.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $901.68 / $1,062.00 / $1,617.46	Professional		$901.68	$1,062.00	$1,617.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $828.98 / $1,133.64 / $1,228.10	Facility		$828.98	$1,133.64	$1,228.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $850.21 / $1,200.08 / $5,949.00	Facility		$850.21	$1,200.08	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,030.80 / $1,225.22 / $1,677.98	Professional		$1,030.80	$1,225.22	$1,677.98
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 $1,116.90 / $1,430.66 / $1,922.82	Professional		$1,116.90	$1,430.66	$1,922.82
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 $844.47 / $1,214.71 / $2,009.40	Professional		$844.47	$1,214.71	$2,009.40