Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.78 / $7,920.26 / $20,400.00	Facility		$1,567.78	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.50 / $881.08 / $2,237.96	Professional		$599.50	$881.08	$2,237.96
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 $739.45 / $1,331.52 / $1,941.08	Professional		$739.45	$1,331.52	$1,941.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.10 / $1,550.19 / $1,859.78	Professional		$1,307.10	$1,550.19	$1,859.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $857.56 / $1,216.99 / $1,567.26	Facility		$857.56	$1,216.99	$1,567.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $985.20 / $1,189.11 / $1,840.16	Professional		$985.20	$1,189.11	$1,840.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $883.24 / $1,221.41 / $1,419.06	Facility		$883.24	$1,221.41	$1,419.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $881.08 / $1,319.56 / $5,217.00	Facility		$881.08	$1,319.56	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.46 / $1,407.00 / $1,944.96	Professional		$1,130.46	$1,407.00	$1,944.96
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 $1,203.89 / $1,653.10 / $2,221.78	Professional		$1,203.89	$1,653.10	$2,221.78
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 $922.10 / $1,337.00 / $2,197.36	Professional		$922.10	$1,337.00	$2,197.36