Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.01 / $2,747.00 / $7,920.26	Facility		$1,001.01	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.68 / $645.50 / $1,588.74	Professional		$444.68	$645.50	$1,588.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,406.86 / $2,406.86 / $4,375.60	Facility		$2,406.86	$2,406.86	$4,375.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.09 / $956.48 / $1,356.79	Professional		$496.09	$956.48	$1,356.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.30 / $1,065.31 / $1,324.74	Professional		$811.30	$1,065.31	$1,324.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.71 / $960.18 / $1,407.40	Facility		$549.71	$960.18	$1,407.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $738.64 / $875.41 / $1,499.04	Professional		$738.64	$875.41	$1,499.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $658.44 / $929.58 / $1,022.42	Facility		$658.44	$929.58	$1,022.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.54 / $1,011.09 / $1,455.50	Facility		$600.54	$1,011.09	$1,455.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.09 / $1,089.17 / $1,403.10	Professional		$817.09	$1,089.17	$1,403.10
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 $933.00 / $1,187.23 / $1,437.36	Professional		$933.00	$1,187.23	$1,437.36
United Facility/Professional Facility Modifier Low / Median / High Price $629.49 / $12,835.00 / $25,015.00	Facility		$629.49	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.91 / $1,041.11 / $1,613.94	Professional		$734.91	$1,041.11	$1,613.94