Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.60 / $5,649.00 / $15,341.00	Facility		$1,456.60	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.59 / $915.18 / $2,380.21	Professional		$578.59	$915.18	$2,380.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $2,310.00 / $2,901.32	Facility		$2,310.00	$2,310.00	$2,901.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.46 / $1,247.75 / $1,744.18	Professional		$661.46	$1,247.75	$1,744.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.60 / $1,393.99 / $1,713.97	Professional		$1,061.60	$1,393.99	$1,713.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.64 / $1,197.07 / $1,727.17	Facility		$728.64	$1,197.07	$1,727.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $981.00 / $1,136.64 / $1,987.26	Professional		$981.00	$1,136.64	$1,987.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $856.11 / $1,183.89 / $1,355.41	Facility		$856.11	$1,183.89	$1,355.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.20 / $1,330.49 / $2,330.83	Facility		$792.20	$1,330.49	$2,330.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,048.73 / $1,440.74 / $1,893.85	Professional		$1,048.73	$1,440.74	$1,893.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,236.82 / $1,574.50 / $1,905.42	Professional		$1,236.82	$1,574.50	$1,905.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.04 / $1,322.60 / $2,097.48	Professional		$953.04	$1,322.60	$2,097.48