Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,943.28 / $24,547.09	Facility		$2,089.30	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $2,818.38 / $8,317.64	Professional		$169.82	$2,818.38	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $10,000.00 / $24,547.09	Facility		$1.00	$10,000.00	$24,547.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,862.09 / $10,232.93	Professional		$131.83	$1,862.09	$10,232.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $14,125.38 / $14,125.38	Facility		$2,089.30	$14,125.38	$14,125.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659,586.91	Facility		$1,659.59	$1,659.59	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,606.93 / $7,079.46	Professional		$3,890.45	$6,606.93	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33