Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.33 / $8,369.76 / $30,593.00	Facility		$1,108.33	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.91 / $707.84 / $2,005.60	Professional		$475.91	$707.84	$2,005.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $5,022.74	Facility		$1,664.70	$1,664.70	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.98 / $985.29 / $1,403.70	Professional		$485.98	$985.29	$1,403.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.14 / $1,046.71 / $1,303.79	Professional		$797.14	$1,046.71	$1,303.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.63 / $925.64 / $1,460.60	Facility		$537.63	$925.64	$1,460.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $796.31 / $898.38 / $1,471.53	Professional		$796.31	$898.38	$1,471.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $702.04 / $968.50 / $1,003.66	Facility		$702.04	$968.50	$1,003.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $1,099.19 / $1,725.95	Facility		$599.29	$1,099.19	$1,725.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $854.74 / $1,082.31 / $1,388.50	Professional		$854.74	$1,082.31	$1,388.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $918.24 / $1,169.19 / $1,492.47	Professional		$918.24	$1,169.19	$1,492.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.74 / $1,043.00 / $1,588.41	Professional		$698.74	$1,043.00	$1,588.41