Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.84 / $7,920.26 / $20,400.00	Facility		$1,351.84	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.05 / $641.88 / $1,610.20	Professional		$543.05	$641.88	$1,610.20
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 $727.07 / $1,194.30 / $1,808.75	Professional		$727.07	$1,194.30	$1,808.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.94 / $1,341.35 / $1,608.93	Professional		$1,144.94	$1,341.35	$1,608.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $814.18 / $1,119.86 / $1,521.50	Facility		$814.18	$1,119.86	$1,521.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.05 / $1,097.51 / $1,646.27	Professional		$1,006.05	$1,097.51	$1,646.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $859.99 / $1,185.23 / $1,251.56	Facility		$859.99	$1,185.23	$1,251.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.58 / $1,225.55 / $5,217.00	Facility		$842.58	$1,225.55	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,089.00 / $1,253.15 / $1,713.10	Professional		$1,089.00	$1,253.15	$1,713.10
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 $1,140.27 / $1,457.97 / $1,959.53	Professional		$1,140.27	$1,457.97	$1,959.53
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 $889.49 / $1,245.29 / $1,920.75	Professional		$889.49	$1,245.29	$1,920.75