Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.10 / $7,920.26 / $20,400.00	Facility		$1,045.10	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.05 / $663.26 / $1,507.88	Professional		$435.05	$663.26	$1,507.88
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 $569.88 / $903.60 / $1,390.50	Professional		$569.88	$903.60	$1,390.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.19 / $1,037.63 / $1,234.08	Professional		$878.19	$1,037.63	$1,234.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.23 / $864.28 / $1,203.59	Facility		$520.23	$864.28	$1,203.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.01 / $845.68 / $1,243.65	Professional		$760.01	$845.68	$1,243.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.15 / $913.88 / $947.38	Facility		$683.15	$913.88	$947.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $614.38 / $919.77 / $2,662.00	Facility		$614.38	$919.77	$2,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.84 / $971.85 / $1,298.48	Professional		$841.84	$971.85	$1,298.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $856.12 / $1,103.63 / $1,483.29	Professional		$856.12	$1,103.63	$1,483.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.72 / $994.35 / $1,480.95	Professional		$654.72	$994.35	$1,480.95