Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.88 / $7,920.26 / $20,400.00	Facility		$1,382.88	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.94 / $813.69 / $2,587.00	Professional		$547.94	$813.69	$2,587.00
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 $707.44 / $1,187.47 / $1,851.96	Professional		$707.44	$1,187.47	$1,851.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.28 / $1,382.49 / $1,658.60	Professional		$1,180.28	$1,382.49	$1,658.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.50 / $1,111.58 / $1,506.20	Facility		$775.50	$1,111.58	$1,506.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,087.98 / $1,678.59	Professional		$932.55	$1,087.98	$1,678.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $844.97 / $1,169.33 / $1,275.01	Facility		$844.97	$1,169.33	$1,275.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $824.97 / $1,219.68 / $5,949.00	Facility		$824.97	$1,219.68	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,048.76 / $1,267.51 / $1,738.97	Professional		$1,048.76	$1,267.51	$1,738.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,158.09 / $1,485.29 / $1,996.25	Professional		$1,158.09	$1,485.29	$1,996.25
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 $863.04 / $1,258.59 / $1,950.80	Professional		$863.04	$1,258.59	$1,950.80