Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.03 / $7,920.26 / $20,400.00	Facility		$1,286.03	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.42 / $794.02 / $1,857.78	Professional		$521.42	$794.02	$1,857.78
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 $673.76 / $1,116.45 / $1,716.15	Professional		$673.76	$1,116.45	$1,716.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,101.65 / $1,290.39 / $1,548.10	Professional		$1,101.65	$1,290.39	$1,548.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.07 / $1,050.48 / $1,404.20	Facility		$718.07	$1,050.48	$1,404.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $879.75 / $1,034.16 / $1,562.44	Professional		$879.75	$1,034.16	$1,562.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $806.69 / $1,092.54 / $1,186.57	Facility		$806.69	$1,092.54	$1,186.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.16 / $1,150.61 / $5,217.00	Facility		$766.16	$1,150.61	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $994.84 / $1,180.99 / $1,617.92	Professional		$994.84	$1,180.99	$1,617.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,076.30 / $1,382.27 / $1,857.78	Professional		$1,076.30	$1,382.27	$1,857.78
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 $782.55 / $1,132.20 / $1,795.53	Professional		$782.55	$1,132.20	$1,795.53