Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.33 / $7,920.26 / $20,400.00	Facility		$1,539.33	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.02 / $945.74 / $2,225.53	Professional		$634.02	$945.74	$2,225.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.82 / $1,347.51 / $2,053.62	Professional		$825.82	$1,347.51	$2,053.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,315.71 / $1,541.12 / $1,848.90	Professional		$1,315.71	$1,541.12	$1,848.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $898.45 / $1,276.75 / $1,683.85	Facility		$898.45	$1,276.75	$1,683.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.26 / $1,240.61 / $1,872.48	Professional		$1,100.26	$1,240.61	$1,872.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $961.25 / $1,329.28 / $1,423.08	Facility		$961.25	$1,329.28	$1,423.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $934.89 / $1,365.24 / $5,949.00	Facility		$934.89	$1,365.24	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.65 / $1,417.16 / $1,940.84	Professional		$1,202.65	$1,417.16	$1,940.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,284.80 / $1,657.78 / $2,226.46	Professional		$1,284.80	$1,657.78	$2,226.46
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 $942.35 / $1,363.41 / $2,162.19	Professional		$942.35	$1,363.41	$2,162.19