Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.05 / $10,180.24 / $42,921.00	Facility		$1,427.05	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.89 / $897.55 / $2,368.13	Professional		$585.89	$897.55	$2,368.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,341.30	Facility		$2,341.30	$2,341.30	$2,341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.12 / $1,236.29 / $1,824.69	Professional		$662.12	$1,236.29	$1,824.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.53 / $1,370.25 / $1,685.78	Professional		$1,043.53	$1,370.25	$1,685.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $712.74 / $1,176.34 / $1,791.96	Facility		$712.74	$1,176.34	$1,791.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $991.44 / $1,157.00 / $1,950.90	Professional		$991.44	$1,157.00	$1,950.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $915.22 / $1,246.20 / $1,330.62	Facility		$915.22	$1,246.20	$1,330.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.39 / $1,313.36 / $1,791.96	Facility		$772.39	$1,313.36	$1,791.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,086.84 / $1,424.63 / $1,857.82	Professional		$1,086.84	$1,424.63	$1,857.82
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 $1,210.99 / $1,550.07 / $1,945.67	Professional		$1,210.99	$1,550.07	$1,945.67
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 $934.92 / $1,335.60 / $2,057.59	Professional		$934.92	$1,335.60	$2,057.59