Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.30 / $7,920.26 / $20,400.00	Facility		$1,082.30	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.06 / $756.03 / $1,706.24	Professional		$430.06	$756.03	$1,706.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.32 / $825.29 / $1,298.48	Professional		$497.32	$825.29	$1,298.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.48 / $1,023.38 / $1,137.08	Professional		$491.48	$1,023.38	$1,137.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.03 / $776.25 / $1,386.55	Facility		$508.03	$776.25	$1,386.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $731.25 / $820.79 / $1,465.95	Professional		$731.25	$820.79	$1,465.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.88 / $931.30 / $980.88	Facility		$675.88	$931.30	$980.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.69 / $1,140.26 / $6,437.00	Facility		$597.69	$1,140.26	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $753.84 / $937.30 / $1,294.60	Professional		$753.84	$937.30	$1,294.60
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 $886.87 / $954.19 / $1,333.01	Professional		$886.87	$954.19	$1,333.01
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 $613.79 / $889.61 / $1,308.69	Professional		$613.79	$889.61	$1,308.69