Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.60 / $7,920.26 / $20,400.00	Facility		$1,495.60	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.47 / $823.16 / $1,844.21	Professional		$586.47	$823.16	$1,844.21
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 $721.51 / $1,286.48 / $1,882.28	Professional		$721.51	$1,286.48	$1,882.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,293.55 / $1,534.60 / $1,841.09	Professional		$1,293.55	$1,534.60	$1,841.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $838.96 / $1,199.96 / $1,507.15	Facility		$838.96	$1,199.96	$1,507.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $982.89 / $1,147.61 / $1,820.93	Professional		$982.89	$1,147.61	$1,820.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $852.72 / $1,179.20 / $1,403.65	Facility		$852.72	$1,179.20	$1,403.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.25 / $1,289.08 / $5,949.00	Facility		$912.25	$1,289.08	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,089.60 / $1,350.05 / $1,879.92	Professional		$1,089.60	$1,350.05	$1,879.92
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 $1,156.73 / $1,624.19 / $2,152.92	Professional		$1,156.73	$1,624.19	$2,152.92
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 $894.74 / $1,278.21 / $2,129.08	Professional		$894.74	$1,278.21	$2,129.08