Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.55 / $7,920.26 / $20,400.00	Facility		$1,177.55	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.01 / $749.71 / $1,694.71	Professional		$500.01	$749.71	$1,694.71
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 $666.28 / $1,043.63 / $1,594.06	Professional		$666.28	$1,043.63	$1,594.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.15 / $1,179.64 / $1,413.90	Professional		$1,006.15	$1,179.64	$1,413.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $712.22 / $984.63 / $1,347.25	Facility		$712.22	$984.63	$1,347.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $880.63 / $961.27 / $1,441.91	Professional		$880.63	$961.27	$1,441.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $774.72 / $1,059.27 / $1,086.07	Facility		$774.72	$1,059.27	$1,086.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.71 / $1,072.08 / $5,217.00	Facility		$749.71	$1,072.08	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.62 / $1,112.30 / $1,494.45	Professional		$961.62	$1,112.30	$1,494.45
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 $987.73 / $1,265.19 / $1,700.43	Professional		$987.73	$1,265.19	$1,700.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.82 / $1,112.29 / $1,692.73	Professional		$746.82	$1,112.29	$1,692.73