Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.56 / $8,952.00 / $32,689.00	Facility		$1,339.56	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.02 / $842.19 / $2,171.52	Professional		$548.02	$842.19	$2,171.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $2,901.32	Facility		$2,059.63	$2,059.63	$2,901.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.33 / $1,158.49 / $1,710.17	Professional		$621.33	$1,158.49	$1,710.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.51 / $1,286.19 / $1,583.25	Professional		$979.51	$1,286.19	$1,583.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.02 / $1,104.19 / $1,628.13	Facility		$669.02	$1,104.19	$1,628.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,083.35 / $1,830.06	Professional		$897.00	$1,083.35	$1,830.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $834.72 / $1,127.77 / $1,248.21	Facility		$834.72	$1,127.77	$1,248.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $742.62 / $1,241.76 / $2,146.48	Facility		$742.62	$1,241.76	$2,146.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,002.96 / $1,330.98 / $1,740.98	Professional		$1,002.96	$1,330.98	$1,740.98
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 $1,136.58 / $1,454.07 / $1,750.98	Professional		$1,136.58	$1,454.07	$1,750.98
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 $894.00 / $1,300.18 / $1,966.10	Professional		$894.00	$1,300.18	$1,966.10