Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.49 / $7,920.26 / $20,400.00	Facility		$1,146.49	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.96 / $726.31 / $1,390.94	Professional		$518.96	$726.31	$1,390.94
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 $657.86 / $1,094.93 / $1,628.70	Professional		$657.86	$1,094.93	$1,628.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.29 / $1,138.81 / $1,353.67	Professional		$963.29	$1,138.81	$1,353.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.31 / $1,077.84 / $1,631.34	Facility		$726.31	$1,077.84	$1,631.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $859.49 / $1,048.56 / $1,498.69	Professional		$859.49	$1,048.56	$1,498.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $853.60 / $1,024.83 / $1,317.89	Facility		$853.60	$1,024.83	$1,317.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.31 / $1,161.96 / $1,631.34	Facility		$726.31	$1,161.96	$1,631.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $934.96 / $1,132.96 / $1,436.25	Professional		$934.96	$1,132.96	$1,436.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $939.15 / $1,235.50 / $1,627.48	Professional		$939.15	$1,235.50	$1,627.48
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 $760.92 / $1,145.95 / $1,608.98	Professional		$760.92	$1,145.95	$1,608.98