Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.10 / $2,747.00 / $13,746.00	Facility		$1,083.10	$2,747.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.42 / $691.14 / $1,774.58	Professional		$463.42	$691.14	$1,774.58
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 $693.76 / $1,156.65 / $1,769.50	Professional		$693.76	$1,156.65	$1,769.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.44 / $1,258.32 / $1,598.23	Professional		$1,024.44	$1,258.32	$1,598.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $1,030.03 / $1,502.08	Facility		$670.00	$1,030.03	$1,502.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $1,113.59 / $1,564.92	Professional		$813.00	$1,113.59	$1,564.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $814.80 / $1,234.59 / $1,323.25	Facility		$814.80	$1,234.59	$1,323.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $671.21 / $1,060.30 / $1,839.17	Facility		$671.21	$1,060.30	$1,839.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $906.07 / $1,245.39 / $1,716.29	Professional		$906.07	$1,245.39	$1,716.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $905.60 / $1,268.96 / $1,841.28	Professional		$905.60	$1,268.96	$1,841.28
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 $979.20 / $1,350.29 / $2,054.23	Professional		$979.20	$1,350.29	$2,054.23