Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.93 / $2,747.00 / $13,746.00	Facility		$1,147.93	$2,747.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.31 / $660.37 / $1,948.94	Professional		$430.31	$660.37	$1,948.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.39 / $1,150.33 / $1,982.63	Professional		$677.39	$1,150.33	$1,982.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.13 / $1,382.54 / $1,922.20	Professional		$1,091.13	$1,382.54	$1,922.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.42 / $1,020.69 / $1,636.76	Facility		$583.42	$1,020.69	$1,636.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.20 / $1,146.03 / $1,795.45	Professional		$748.20	$1,146.03	$1,795.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.60 / $1,290.42 / $1,585.22	Facility		$794.60	$1,290.42	$1,585.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.42 / $1,074.53 / $2,024.26	Facility		$583.42	$1,074.53	$2,024.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.36 / $1,298.22 / $1,976.84	Professional		$855.36	$1,298.22	$1,976.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $959.41 / $1,450.86 / $2,075.92	Professional		$959.41	$1,450.86	$2,075.92
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 $923.78 / $1,324.59 / $2,269.80	Professional		$923.78	$1,324.59	$2,269.80