Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.07 / $7,920.26 / $20,400.00	Facility		$1,124.07	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.63 / $627.39 / $1,626.23	Professional		$425.63	$627.39	$1,626.23
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 $542.16 / $963.23 / $1,469.22	Professional		$542.16	$963.23	$1,469.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.03 / $1,134.59 / $1,361.19	Professional		$965.03	$1,134.59	$1,361.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.39 / $855.65 / $1,126.25	Facility		$627.39	$855.65	$1,126.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $700.06 / $884.77 / $1,365.07	Professional		$700.06	$884.77	$1,365.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $615.60 / $895.79 / $1,036.49	Facility		$615.60	$895.79	$1,036.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.54 / $953.53 / $5,217.00	Facility		$644.54	$953.53	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $796.62 / $1,020.00 / $1,404.84	Professional		$796.62	$1,020.00	$1,404.84
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 $935.34 / $1,207.43 / $1,622.80	Professional		$935.34	$1,207.43	$1,622.80
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 $660.11 / $947.11 / $1,483.23	Professional		$660.11	$947.11	$1,483.23