Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,414.79 / $7,920.26 / $20,400.00	Facility		$1,414.79	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.41 / $886.12 / $2,039.87	Professional		$578.41	$886.12	$2,039.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.48 / $1,233.77 / $1,895.18	Professional		$755.48	$1,233.77	$1,895.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.88 / $1,414.82 / $1,697.38	Professional		$1,207.88	$1,414.82	$1,697.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $897.75 / $1,211.96 / $1,744.76	Facility		$897.75	$1,211.96	$1,744.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.60 / $1,142.04 / $1,835.22	Professional		$1,023.60	$1,142.04	$1,835.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $875.01 / $1,210.02 / $1,304.49	Facility		$875.01	$1,210.02	$1,304.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $897.75 / $1,268.45 / $1,744.76	Facility		$897.75	$1,268.45	$1,744.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.94 / $1,298.44 / $1,780.55	Professional		$1,096.94	$1,298.44	$1,780.55
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 $1,185.16 / $1,519.63 / $2,042.40	Professional		$1,185.16	$1,519.63	$2,042.40
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 $845.49 / $1,272.59 / $1,982.11	Professional		$845.49	$1,272.59	$1,982.11