Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.42 / $7,920.26 / $20,400.00	Facility		$1,285.42	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $709.20 / $1,533.87	Professional		$491.91	$709.20	$1,533.87
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 $670.17 / $1,116.83 / $1,703.81	Professional		$670.17	$1,116.83	$1,703.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.63 / $1,300.24 / $1,559.91	Professional		$1,107.63	$1,300.24	$1,559.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $766.95 / $1,047.59 / $1,405.90	Facility		$766.95	$1,047.59	$1,405.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $888.75 / $1,022.38 / $1,561.57	Professional		$888.75	$1,022.38	$1,561.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $798.46 / $1,094.49 / $1,182.55	Facility		$798.46	$1,094.49	$1,182.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.23 / $1,153.86 / $5,217.00	Facility		$772.23	$1,153.86	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $990.60 / $1,179.19 / $1,610.53	Professional		$990.60	$1,179.19	$1,610.53
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 $1,072.00 / $1,377.58 / $1,851.49	Professional		$1,072.00	$1,377.58	$1,851.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.84 / $1,151.51 / $1,805.74	Professional		$777.84	$1,151.51	$1,805.74