Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.15 / $7,920.26 / $20,400.00	Facility		$1,001.15	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.83 / $561.34 / $1,153.28	Professional		$393.83	$561.34	$1,153.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.67 / $887.94 / $1,340.35	Professional		$544.67	$887.94	$1,340.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.38 / $992.17 / $1,186.57	Professional		$844.38	$992.17	$1,186.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.30 / $876.00 / $1,287.51	Facility		$634.30	$876.00	$1,287.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $810.34 / $1,366.32	Professional		$731.20	$810.34	$1,366.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.60 / $875.69 / $913.21	Facility		$637.60	$875.69	$913.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.30 / $941.80 / $1,287.51	Facility		$634.30	$941.80	$1,287.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $802.66 / $924.00 / $1,251.64	Professional		$802.66	$924.00	$1,251.64
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 $826.60 / $1,063.82 / $1,429.79	Professional		$826.60	$1,063.82	$1,429.79
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 $640.42 / $881.05 / $1,392.37	Professional		$640.42	$881.05	$1,392.37