Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.30 / $7,920.26 / $20,400.00	Facility		$1,356.30	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.49 / $781.85 / $1,955.83	Professional		$524.49	$781.85	$1,955.83
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 $660.64 / $1,165.91 / $1,797.43	Professional		$660.64	$1,165.91	$1,797.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.84 / $1,357.39 / $1,628.48	Professional		$1,158.84	$1,357.39	$1,628.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $804.87 / $1,034.78 / $1,450.01	Facility		$804.87	$1,034.78	$1,450.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $871.59 / $1,060.23 / $1,645.41	Professional		$871.59	$1,060.23	$1,645.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $816.06 / $1,146.15 / $1,249.55	Facility		$816.06	$1,146.15	$1,249.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.47 / $1,164.13 / $2,748.00	Facility		$817.47	$1,164.13	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.30 / $1,238.96 / $1,705.70	Professional		$993.30	$1,238.96	$1,705.70
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 $1,135.34 / $1,455.63 / $1,956.39	Professional		$1,135.34	$1,455.63	$1,956.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.26 / $1,175.18 / $1,945.69	Professional		$813.26	$1,175.18	$1,945.69