Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.11 / $7,920.26 / $20,400.00	Facility		$1,082.11	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.42 / $674.12 / $1,562.44	Professional		$444.42	$674.12	$1,562.44
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 $573.58 / $938.17 / $1,437.33	Professional		$573.58	$938.17	$1,437.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.94 / $1,085.89 / $1,302.75	Professional		$926.94	$1,085.89	$1,302.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.94 / $895.68 / $1,181.50	Facility		$672.94	$895.68	$1,181.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $735.93 / $866.14 / $1,313.52	Professional		$735.93	$866.14	$1,313.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $674.42 / $922.59 / $997.63	Facility		$674.42	$922.59	$997.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.76 / $969.22 / $5,217.00	Facility		$684.76	$969.22	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $993.20 / $1,359.20	Professional		$837.00	$993.20	$1,359.20
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 $905.32 / $1,162.16 / $1,561.96	Professional		$905.32	$1,162.16	$1,561.96
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 $680.96 / $993.94 / $1,566.06	Professional		$680.96	$993.94	$1,566.06