Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.44 / $7,920.26 / $20,400.00	Facility		$1,331.44	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.63 / $826.06 / $1,919.87	Professional		$541.63	$826.06	$1,919.87
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 $702.38 / $1,155.52 / $1,764.51	Professional		$702.38	$1,155.52	$1,764.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,135.39 / $1,329.91 / $1,595.51	Professional		$1,135.39	$1,329.91	$1,595.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $789.55 / $1,093.77 / $1,448.40	Facility		$789.55	$1,093.77	$1,448.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $934.38 / $1,054.20 / $1,612.22	Professional		$934.38	$1,054.20	$1,612.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.02 / $1,123.55 / $1,226.77	Facility		$812.02	$1,123.55	$1,226.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.04 / $1,185.01 / $5,217.00	Facility		$808.04	$1,185.01	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,028.03 / $1,218.26 / $1,674.29	Professional		$1,028.03	$1,218.26	$1,674.29
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 $1,114.44 / $1,429.10 / $1,920.72	Professional		$1,114.44	$1,429.10	$1,920.72
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 $827.03 / $1,162.13 / $1,858.07	Professional		$827.03	$1,162.13	$1,858.07