Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.55 / $7,920.26 / $20,400.00	Facility		$1,017.55	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.03 / $710.94 / $1,969.33	Professional		$393.03	$710.94	$1,969.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $869.31 / $1,468.69	Professional		$527.91	$869.31	$1,468.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.55 / $1,066.13 / $1,369.79	Professional		$597.55	$1,066.13	$1,369.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $499.24 / $876.99 / $1,392.74	Facility		$499.24	$876.99	$1,392.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $729.05 / $931.34 / $1,449.27	Professional		$729.05	$931.34	$1,449.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $665.71 / $1,069.60 / $1,179.20	Facility		$665.71	$1,069.60	$1,179.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.86 / $1,016.64 / $6,123.60	Facility		$562.86	$1,016.64	$6,123.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $777.03 / $1,071.35 / $1,411.43	Professional		$777.03	$1,071.35	$1,411.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $833.98 / $1,131.66 / $1,529.50	Professional		$833.98	$1,131.66	$1,529.50
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 $718.96 / $1,092.95 / $1,859.70	Professional		$718.96	$1,092.95	$1,859.70