Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.86 / $5,200.60 / $20,400.00	Facility		$1,027.86	$5,200.60	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.74 / $595.26 / $1,936.00	Professional		$412.74	$595.26	$1,936.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.59 / $910.22 / $1,393.09	Professional		$558.59	$910.22	$1,393.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.57 / $1,017.95 / $1,219.15	Professional		$867.57	$1,017.95	$1,219.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $649.66 / $902.22 / $1,286.58	Facility		$649.66	$902.22	$1,286.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $765.35 / $839.48 / $1,434.45	Professional		$765.35	$839.48	$1,434.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.98 / $907.18 / $953.41	Facility		$656.98	$907.18	$953.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $649.66 / $972.99 / $1,286.58	Facility		$649.66	$972.99	$1,286.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.52 / $957.34 / $1,303.76	Professional		$839.52	$957.34	$1,303.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $867.81 / $1,110.65 / $1,492.73	Professional		$867.81	$1,110.65	$1,492.73
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 $626.72 / $949.91 / $1,461.80	Professional		$626.72	$949.91	$1,461.80