Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.43 / $8,952.00 / $32,689.00	Facility		$1,455.43	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.29 / $915.26 / $2,089.55	Professional		$618.29	$915.26	$2,089.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $4,924.56	Facility		$1,664.70	$1,664.70	$4,924.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.78 / $1,255.31 / $1,811.49	Professional		$680.78	$1,255.31	$1,811.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.45 / $1,393.78 / $1,713.17	Professional		$1,061.45	$1,393.78	$1,713.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.36 / $1,092.46 / $2,145.64	Facility		$709.36	$1,092.46	$2,145.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.10 / $1,227.38 / $2,159.06	Professional		$1,086.10	$1,227.38	$2,159.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $893.47 / $1,293.05 / $1,355.41	Facility		$893.47	$1,293.05	$1,355.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.67 / $1,427.10 / $2,145.64	Facility		$728.67	$1,427.10	$2,145.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.17 / $1,466.68 / $1,899.69	Professional		$1,082.17	$1,466.68	$1,899.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,236.21 / $1,578.95 / $1,958.03	Professional		$1,236.21	$1,578.95	$1,958.03
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 $975.50 / $1,428.60 / $2,082.35	Professional		$975.50	$1,428.60	$2,082.35