Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.33 / $7,920.26 / $20,400.00	Facility		$1,037.33	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.01 / $525.85 / $1,258.52	Professional		$434.01	$525.85	$1,258.52
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 $594.52 / $926.31 / $1,375.60	Professional		$594.52	$926.31	$1,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.39 / $1,023.63 / $1,227.33	Professional		$873.39	$1,023.63	$1,227.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.24 / $979.05 / $1,344.12	Facility		$647.24	$979.05	$1,344.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.55 / $863.20 / $1,320.66	Professional		$760.55	$863.20	$1,320.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $661.01 / $900.48 / $1,005.57	Facility		$661.01	$900.48	$1,005.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.24 / $1,022.49 / $2,662.00	Facility		$647.24	$1,022.49	$2,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.30 / $958.32 / $1,297.41	Professional		$843.30	$958.32	$1,297.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $864.73 / $1,115.33 / $1,498.51	Professional		$864.73	$1,115.33	$1,498.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.43 / $917.32 / $1,435.34	Professional		$685.43	$917.32	$1,435.34