Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.53 / $7,920.26 / $20,400.00	Facility		$1,591.53	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $843.45 / $1,875.19	Professional		$556.54	$843.45	$1,875.19
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 $780.49 / $1,365.61 / $2,127.69	Professional		$780.49	$1,365.61	$2,127.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.86 / $1,583.47 / $1,899.71	Professional		$1,351.86	$1,583.47	$1,899.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,274.13 / $1,715.61	Facility		$843.45	$1,274.13	$1,715.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.20 / $1,248.73 / $1,926.61	Professional		$1,051.20	$1,248.73	$1,926.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $864.23 / $1,321.24 / $1,465.29	Facility		$864.23	$1,321.24	$1,465.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,274.13 / $1,860.36	Facility		$843.45	$1,274.13	$1,860.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,108.40 / $1,455.20 / $2,003.23	Professional		$1,108.40	$1,455.20	$2,003.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,333.38 / $1,706.95 / $2,294.16	Professional		$1,333.38	$1,706.95	$2,294.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.68 / $1,408.97 / $2,306.52	Professional		$953.68	$1,408.97	$2,306.52