Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.74 / $7,920.26 / $20,400.00	Facility		$1,203.74	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $723.57 / $1,739.25	Professional		$477.26	$723.57	$1,739.25
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 $608.46 / $1,035.19 / $1,583.43	Professional		$608.46	$1,035.19	$1,583.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.79 / $1,210.71 / $1,452.50	Professional		$1,031.79	$1,210.71	$1,452.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $710.68 / $978.92 / $1,302.20	Facility		$710.68	$978.92	$1,302.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $843.66 / $954.18 / $1,461.13	Professional		$843.66	$954.18	$1,461.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $733.05 / $1,013.71 / $1,109.52	Facility		$733.05	$1,013.71	$1,109.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $716.01 / $1,067.23 / $5,217.00	Facility		$716.01	$1,067.23	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.56 / $1,100.81 / $1,511.66	Professional		$910.56	$1,100.81	$1,511.66
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 $1,006.19 / $1,292.51 / $1,737.14	Professional		$1,006.19	$1,292.51	$1,737.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.14 / $1,035.14 / $1,694.88	Professional		$726.14	$1,035.14	$1,694.88