Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.65 / $8,369.76 / $30,593.00	Facility		$1,353.65	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.62 / $859.49 / $2,096.90	Professional		$525.62	$859.49	$2,096.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $2,406.86	Facility		$1,664.70	$1,664.70	$2,406.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.30 / $1,171.00 / $1,714.59	Professional		$610.30	$1,171.00	$1,714.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.25 / $1,297.67 / $1,603.24	Professional		$988.25	$1,297.67	$1,603.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $664.39 / $1,079.47 / $1,610.54	Facility		$664.39	$1,079.47	$1,610.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $882.56 / $1,068.73 / $1,837.92	Professional		$882.56	$1,068.73	$1,837.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $764.99 / $1,129.61 / $1,253.57	Facility		$764.99	$1,129.61	$1,253.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.99 / $1,196.07 / $2,155.69	Facility		$707.99	$1,196.07	$2,155.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,005.07 / $1,343.94 / $1,746.82	Professional		$1,005.07	$1,343.94	$1,746.82
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 $1,146.41 / $1,460.32 / $1,766.14	Professional		$1,146.41	$1,460.32	$1,766.14
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 $832.50 / $1,255.81 / $1,964.66	Professional		$832.50	$1,255.81	$1,964.66