Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.94 / $7,920.26 / $13,320.00	Facility		$1,057.94	$7,920.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.78 / $734.15 / $1,699.76	Professional		$482.78	$734.15	$1,699.76
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 $625.90 / $1,021.44 / $1,565.94	Professional		$625.90	$1,021.44	$1,565.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,006.48 / $1,178.92 / $1,414.37	Professional		$1,006.48	$1,178.92	$1,414.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $748.80 / $975.88 / $1,264.08	Facility		$748.80	$975.88	$1,264.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $823.02 / $943.64 / $1,427.95	Professional		$823.02	$943.64	$1,427.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $734.99 / $995.62 / $1,086.07	Facility		$734.99	$995.62	$1,086.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $748.80 / $1,048.32 / $5,217.00	Facility		$748.80	$1,048.32	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.60 / $1,079.38 / $1,479.32	Professional		$912.60	$1,079.38	$1,479.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $984.67 / $1,265.19 / $1,700.43	Professional		$984.67	$1,265.19	$1,700.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.26 / $1,066.08 / $1,703.29	Professional		$746.26	$1,066.08	$1,703.29