Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.20 / $8,952.00 / $32,689.00	Facility		$1,358.20	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.97 / $860.98 / $2,447.77	Professional		$580.97	$860.98	$2,447.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,400.80	Facility		$2,059.63	$2,059.63	$2,400.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.19 / $1,201.95 / $1,717.10	Professional		$597.19	$1,201.95	$1,717.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.34 / $1,284.65 / $1,593.79	Professional		$978.34	$1,284.65	$1,593.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.57 / $1,129.52 / $1,784.56	Facility		$656.57	$1,129.52	$1,784.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.67 / $1,104.02 / $1,804.53	Professional		$977.67	$1,104.02	$1,804.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $902.62 / $1,191.26 / $1,248.21	Facility		$902.62	$1,191.26	$1,248.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.66 / $1,349.16 / $2,116.53	Facility		$736.66	$1,349.16	$2,116.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,048.18 / $1,327.39 / $1,708.84	Professional		$1,048.18	$1,327.39	$1,708.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $10,185.20 / $12,751.18	Facility		$7,382.73	$10,185.20	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,126.11 / $1,433.78 / $1,918.89	Professional		$1,126.11	$1,433.78	$1,918.89
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 $895.05 / $1,316.24 / $1,947.98	Professional		$895.05	$1,316.24	$1,947.98