Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.23 / $8,952.00 / $32,689.00	Facility		$1,284.23	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $753.82 / $1,558.05	Professional		$494.38	$753.82	$1,558.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,406.86	Facility		$2,059.63	$2,059.63	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.34 / $1,093.69 / $1,556.69	Professional		$577.34	$1,093.69	$1,556.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.78 / $1,234.01 / $1,529.74	Professional		$939.78	$1,234.01	$1,529.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $635.99 / $1,011.71 / $1,519.84	Facility		$635.99	$1,011.71	$1,519.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $820.04 / $996.96 / $1,741.65	Professional		$820.04	$996.96	$1,741.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.87 / $1,069.32 / $1,187.91	Facility		$765.87	$1,069.32	$1,187.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $662.88 / $1,129.64 / $2,042.79	Facility		$662.88	$1,129.64	$2,042.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.98 / $1,265.67 / $1,622.88	Professional		$933.98	$1,265.67	$1,622.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,607.31 / $9,198.70 / $11,120.17	Facility		$6,607.31	$9,198.70	$11,120.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,074.44 / $1,376.73 / $1,672.34	Professional		$1,074.44	$1,376.73	$1,672.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.84 / $1,103.91 / $1,828.54	Professional		$771.84	$1,103.91	$1,828.54