Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.23 / $7,920.26 / $20,400.00	Facility		$1,038.23	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.29 / $628.04 / $1,232.68	Professional		$412.29	$628.04	$1,232.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $895.02 / $1,377.66	Professional		$516.41	$895.02	$1,377.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $889.29 / $1,042.00 / $1,250.09	Professional		$889.29	$1,042.00	$1,250.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $594.55 / $803.52 / $1,127.95	Facility		$594.55	$803.52	$1,127.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $702.08 / $829.56 / $1,260.25	Professional		$702.08	$829.56	$1,260.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $885.07 / $957.43	Facility		$639.45	$885.07	$957.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $615.40 / $921.84 / $7,090.00	Facility		$615.40	$921.84	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.30 / $952.86 / $1,304.69	Professional		$783.30	$952.86	$1,304.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,914.95 / $21,418.17 / $26,781.36	Facility		$8,914.95	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $868.42 / $1,115.33 / $1,499.02	Professional		$868.42	$1,115.33	$1,499.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $26,830.35	Facility		$1,981.00	$9,529.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $656.60 / $924.70 / $1,462.84	Professional		$656.60	$924.70	$1,462.84