Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.65 / $7,920.26 / $20,400.00	Facility		$1,360.65	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.89 / $845.80 / $2,267.12	Professional		$549.89	$845.80	$2,267.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.05 / $1,219.95 / $1,913.21	Professional		$747.05	$1,219.95	$1,913.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,337.90 / $1,567.11 / $1,880.08	Professional		$1,337.90	$1,567.11	$1,880.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.34 / $1,158.76 / $1,493.03	Facility		$858.34	$1,158.76	$1,493.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $982.20 / $1,165.09 / $1,862.43	Professional		$982.20	$1,165.09	$1,862.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $837.90 / $1,185.23 / $1,450.55	Facility		$837.90	$1,185.23	$1,450.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.34 / $1,224.21 / $3,865.00	Facility		$858.34	$1,224.21	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,076.15 / $1,280.40 / $1,822.29	Professional		$1,076.15	$1,280.40	$1,822.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,126.74 / $1,482.27 / $1,952.55	Professional		$1,126.74	$1,482.27	$1,952.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.12 / $1,220.61 / $1,897.94	Professional		$849.12	$1,220.61	$1,897.94