Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.48 / $7,920.26 / $20,400.00	Facility		$1,527.48	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.60 / $863.86 / $2,182.89	Professional		$589.60	$863.86	$2,182.89
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 $720.69 / $1,297.49 / $1,883.82	Professional		$720.69	$1,297.49	$1,883.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,273.81 / $1,510.56 / $1,812.24	Professional		$1,273.81	$1,510.56	$1,812.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $1,224.20 / $1,554.65	Facility		$830.00	$1,224.20	$1,554.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $992.72 / $1,158.17 / $1,786.89	Professional		$992.72	$1,158.17	$1,786.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $860.96 / $1,191.26 / $1,381.54	Facility		$860.96	$1,191.26	$1,381.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.86 / $1,298.52 / $5,217.00	Facility		$863.86	$1,298.52	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,101.86 / $1,367.84 / $1,889.99	Professional		$1,101.86	$1,367.84	$1,889.99
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 $1,169.83 / $1,609.39 / $2,163.04	Professional		$1,169.83	$1,609.39	$2,163.04
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 $906.27 / $1,284.09 / $2,006.91	Professional		$906.27	$1,284.09	$2,006.91