Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.79 / $7,074.00 / $20,400.00	Facility		$1,272.79	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.22 / $790.25 / $1,544.18	Professional		$552.22	$790.25	$1,544.18
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 $710.85 / $1,124.35 / $1,694.36	Professional		$710.85	$1,124.35	$1,694.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,070.98 / $1,260.95 / $1,505.00	Professional		$1,070.98	$1,260.95	$1,505.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $771.61 / $1,111.08 / $1,422.05	Facility		$771.61	$1,111.08	$1,422.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $926.54 / $1,031.68 / $1,516.16	Professional		$926.54	$1,031.68	$1,516.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $803.79 / $1,111.53 / $1,154.41	Facility		$803.79	$1,111.53	$1,154.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.22 / $1,161.47 / $5,217.00	Facility		$812.22	$1,161.47	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,169.44 / $1,582.23	Professional		$1,033.20	$1,169.44	$1,582.23
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 $1,046.17 / $1,344.80 / $1,807.43	Professional		$1,046.17	$1,344.80	$1,807.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.36 / $1,181.44 / $1,792.85	Professional		$815.36	$1,181.44	$1,792.85