Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.85 / $7,920.26 / $20,400.00	Facility		$1,345.85	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.85 / $841.41 / $1,938.64	Professional		$551.85	$841.41	$1,938.64
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 $716.37 / $1,168.93 / $1,780.97	Professional		$716.37	$1,168.93	$1,780.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,146.93 / $1,343.43 / $1,611.73	Professional		$1,146.93	$1,343.43	$1,611.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $1,112.90 / $1,464.55	Facility		$810.00	$1,112.90	$1,464.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $911.37 / $1,066.28 / $1,629.69	Professional		$911.37	$1,066.28	$1,629.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $828.01 / $1,145.03 / $1,238.83	Facility		$828.01	$1,145.03	$1,238.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $841.41 / $1,201.09 / $5,217.00	Facility		$841.41	$1,201.09	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,043.85 / $1,231.36 / $1,692.77	Professional		$1,043.85	$1,231.36	$1,692.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,126.74 / $1,443.14 / $1,939.60	Professional		$1,126.74	$1,443.14	$1,939.60
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 $854.07 / $1,175.72 / $1,879.65	Professional		$854.07	$1,175.72	$1,879.65