Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.59 / $8,878.56 / $20,400.00	Facility		$1,250.59	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.04 / $807.10 / $2,994.82	Professional		$539.04	$807.10	$2,994.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.95 / $1,230.98 / $1,678.63	Professional		$785.95	$1,230.98	$1,678.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.63 / $1,309.94 / $1,474.86	Professional		$915.63	$1,309.94	$1,474.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $807.10 / $1,208.58 / $1,735.27	Facility		$807.10	$1,208.58	$1,735.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $884.48 / $1,015.56 / $1,819.55	Professional		$884.48	$1,015.56	$1,819.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $791.19 / $1,068.39 / $1,143.69	Facility		$791.19	$1,068.39	$1,143.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.10 / $1,363.69 / $6,246.00	Facility		$807.10	$1,363.69	$6,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,001.55 / $1,303.42 / $1,672.09	Professional		$1,001.55	$1,303.42	$1,672.09
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 $1,033.86 / $1,400.59 / $1,790.64	Professional		$1,033.86	$1,400.59	$1,790.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,953.60	Facility		$1,981.00	$9,529.00	$12,953.60
United Facility/Professional Professional Modifier Low / Median / High Price $851.76 / $1,336.61 / $1,788.40	Professional		$851.76	$1,336.61	$1,788.40