Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.83 / $7,920.26 / $20,400.00	Facility		$1,274.83	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.29 / $774.42 / $1,841.66	Professional		$488.29	$774.42	$1,841.66
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 $677.10 / $1,099.74 / $1,682.20	Professional		$677.10	$1,099.74	$1,682.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.34 / $1,280.34 / $1,536.05	Professional		$1,092.34	$1,280.34	$1,536.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $761.18 / $1,037.34 / $1,423.98	Facility		$761.18	$1,037.34	$1,423.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $859.77 / $1,017.42 / $1,547.59	Professional		$859.77	$1,017.42	$1,547.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $718.65 / $1,078.11 / $1,175.84	Facility		$718.65	$1,078.11	$1,175.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $769.91 / $1,094.50 / $5,217.00	Facility		$769.91	$1,094.50	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.90 / $1,177.69 / $1,595.28	Professional		$977.90	$1,177.69	$1,595.28
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 $1,066.46 / $1,369.78 / $1,841.00	Professional		$1,066.46	$1,369.78	$1,841.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.27 / $1,109.78 / $1,769.65	Professional		$771.27	$1,109.78	$1,769.65