Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.28 / $7,920.26 / $20,400.00	Facility		$1,363.28	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.94 / $826.47 / $1,966.54	Professional		$538.94	$826.47	$1,966.54
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 $679.86 / $1,171.83 / $1,806.69	Professional		$679.86	$1,171.83	$1,806.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.73 / $1,364.27 / $1,636.74	Professional		$1,164.73	$1,364.27	$1,636.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $764.02 / $1,109.02 / $1,471.35	Facility		$764.02	$1,109.02	$1,471.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $918.00 / $1,086.59 / $1,652.40	Professional		$918.00	$1,086.59	$1,652.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $806.05 / $1,166.47 / $1,256.25	Facility		$806.05	$1,166.47	$1,256.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.83 / $1,206.70 / $5,217.00	Facility		$805.83	$1,206.70	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.59 / $1,248.98 / $1,714.02	Professional		$1,027.59	$1,248.98	$1,714.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,140.88 / $1,463.44 / $1,966.88	Professional		$1,140.88	$1,463.44	$1,966.88
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 $851.43 / $1,215.78 / $1,955.18	Professional		$851.43	$1,215.78	$1,955.18