Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,310.97 / $7,920.26 / $20,400.00	Facility		$1,310.97	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.11 / $814.06 / $1,891.25	Professional		$535.11	$814.06	$1,891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.85 / $1,134.41 / $1,733.64	Professional		$691.85	$1,134.41	$1,733.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,120.64 / $1,312.64 / $1,574.79	Professional		$1,120.64	$1,312.64	$1,574.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $811.47 / $1,079.28 / $1,426.30	Facility		$811.47	$1,079.28	$1,426.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $930.74 / $1,046.56 / $1,589.52	Professional		$930.74	$1,046.56	$1,589.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $814.93 / $1,114.88 / $1,208.01	Facility		$814.93	$1,114.88	$1,208.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $1,168.84 / $5,949.00	Facility		$826.50	$1,168.84	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,012.80 / $1,201.38 / $1,649.34	Professional		$1,012.80	$1,201.38	$1,649.34
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 $1,097.21 / $1,407.24 / $1,891.35	Professional		$1,097.21	$1,407.24	$1,891.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.16 / $1,167.49 / $1,824.67	Professional		$812.16	$1,167.49	$1,824.67