Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.83 / $7,920.26 / $20,400.00	Facility		$1,153.83	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.14 / $640.38 / $1,295.96	Professional		$441.14	$640.38	$1,295.96
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 $603.20 / $995.29 / $1,514.49	Professional		$603.20	$995.29	$1,514.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.48 / $1,158.75 / $1,390.17	Professional		$988.48	$1,158.75	$1,390.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.56 / $942.48 / $1,245.25	Facility		$695.56	$942.48	$1,245.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.31 / $911.40 / $1,397.36	Professional		$776.31	$911.40	$1,397.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $711.25 / $976.54 / $1,059.94	Facility		$711.25	$976.54	$1,059.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.21 / $1,029.68 / $5,217.00	Facility		$713.21	$1,029.68	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $1,051.28 / $1,446.06	Professional		$885.00	$1,051.28	$1,446.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $962.52 / $1,234.75 / $1,659.52	Professional		$962.52	$1,234.75	$1,659.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.88 / $1,021.90 / $1,664.99	Professional		$710.88	$1,021.90	$1,664.99