Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.70 / $7,920.26 / $20,400.00	Facility		$1,008.70	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.16 / $629.26 / $1,449.55	Professional		$415.16	$629.26	$1,449.55
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 $533.61 / $874.09 / $1,339.59	Professional		$533.61	$874.09	$1,339.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.12 / $1,017.63 / $1,220.86	Professional		$868.12	$1,017.63	$1,220.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.38 / $833.76 / $1,105.00	Facility		$625.38	$833.76	$1,105.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $688.50 / $802.28 / $1,229.69	Professional		$688.50	$802.28	$1,229.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $626.46 / $862.29 / $922.59	Facility		$626.46	$862.29	$922.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.73 / $914.45 / $5,217.00	Facility		$634.73	$914.45	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.80 / $925.54 / $1,264.03	Professional		$781.80	$925.54	$1,264.03
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 $840.75 / $1,074.75 / $1,444.47	Professional		$840.75	$1,074.75	$1,444.47
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 $633.35 / $896.30 / $1,400.83	Professional		$633.35	$896.30	$1,400.83