Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.63 / $7,074.00 / $20,400.00	Facility		$1,017.63	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.83 / $708.72 / $1,339.42	Professional		$465.83	$708.72	$1,339.42
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 $604.29 / $983.80 / $1,507.29	Professional		$604.29	$983.80	$1,507.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.30 / $1,133.02 / $1,359.30	Professional		$967.30	$1,133.02	$1,359.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $714.43 / $938.06 / $1,232.50	Facility		$714.43	$938.06	$1,232.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.04 / $898.53 / $1,373.79	Professional		$776.04	$898.53	$1,373.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.20 / $964.13 / $1,042.52	Facility		$697.20	$964.13	$1,042.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,015.34 / $5,217.00	Facility		$720.00	$1,015.34	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $878.37 / $1,037.72 / $1,422.04	Professional		$878.37	$1,037.72	$1,422.04
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 $946.53 / $1,214.46 / $1,632.24	Professional		$946.53	$1,214.46	$1,632.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $17,375.00 / $26,255.00	Facility		$3,028.00	$17,375.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.82 / $1,026.89 / $1,594.39	Professional		$718.82	$1,026.89	$1,594.39