Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.86 / $7,920.26 / $20,400.00	Facility		$1,252.86	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.02 / $809.66 / $2,404.62	Professional		$541.02	$809.66	$2,404.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.43 / $1,234.88 / $1,680.60	Professional		$791.43	$1,234.88	$1,680.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.26 / $1,312.34 / $1,477.56	Professional		$917.26	$1,312.34	$1,477.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.66 / $1,210.75 / $1,740.77	Facility		$809.66	$1,210.75	$1,740.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,019.28 / $1,822.73	Professional		$841.50	$1,019.28	$1,822.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.86 / $1,077.05 / $1,145.03	Facility		$790.86	$1,077.05	$1,145.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.66 / $1,367.01 / $5,626.00	Facility		$809.66	$1,367.01	$5,626.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,008.35 / $1,305.88 / $1,675.07	Professional		$1,008.35	$1,305.88	$1,675.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,035.71 / $1,402.23 / $1,792.74	Professional		$1,035.71	$1,402.23	$1,792.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $871.32 / $1,241.83 / $1,791.60	Professional		$871.32	$1,241.83	$1,791.60