Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.03 / $4,962.67 / $15,341.00	Facility		$1,168.03	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.89 / $743.06 / $1,681.68	Professional		$491.89	$743.06	$1,681.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.38 / $1,099.10 / $1,580.29	Professional		$680.38	$1,099.10	$1,580.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.00 / $1,161.95 / $1,394.01	Professional		$992.00	$1,161.95	$1,394.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $743.06 / $1,108.05 / $1,554.50	Facility		$743.06	$1,108.05	$1,554.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $854.40 / $947.98 / $1,618.44	Professional		$854.40	$947.98	$1,618.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.81 / $1,024.43 / $1,082.53	Facility		$771.81	$1,024.43	$1,082.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.06 / $1,177.78 / $2,919.00	Facility		$743.06	$1,177.78	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.05 / $1,101.51 / $1,471.88	Professional		$967.05	$1,101.51	$1,471.88
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 $979.13 / $1,254.26 / $1,685.74	Professional		$979.13	$1,254.26	$1,685.74
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 $779.79 / $1,055.01 / $1,648.87	Professional		$779.79	$1,055.01	$1,648.87