Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.06 / $10,180.24 / $42,921.00	Facility		$1,415.06	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.20 / $889.74 / $2,662.03	Professional		$590.20	$889.74	$2,662.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $12,082.46	Facility		$1,664.70	$1,664.70	$12,082.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.40 / $1,247.93 / $1,810.61	Professional		$666.40	$1,247.93	$1,810.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,033.77 / $1,357.44 / $1,669.08	Professional		$1,033.77	$1,357.44	$1,669.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.23 / $1,063.97 / $2,085.78	Facility		$691.23	$1,063.97	$2,085.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.83 / $1,205.11 / $2,102.84	Professional		$1,057.83	$1,205.11	$2,102.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $910.38 / $1,259.33 / $1,318.56	Facility		$910.38	$1,259.33	$1,318.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.20 / $1,387.29 / $2,085.78	Facility		$707.20	$1,387.29	$2,085.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.90 / $1,429.02 / $1,844.19	Professional		$1,107.90	$1,429.02	$1,844.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $32,532.53 / $38,534.69	Facility		$23,713.19	$32,532.53	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,201.15 / $1,536.02 / $1,935.37	Professional		$1,201.15	$1,536.02	$1,935.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.29 / $1,358.52 / $2,023.32	Professional		$958.29	$1,358.52	$2,023.32