Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.09 / $8,878.56 / $20,400.00	Facility		$1,271.09	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.86 / $883.16 / $1,920.61	Professional		$466.86	$883.16	$1,920.61
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 $590.80 / $929.04 / $1,536.75	Professional		$590.80	$929.04	$1,536.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.66 / $1,205.46 / $1,341.28	Professional		$581.66	$1,205.46	$1,341.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $581.66 / $901.57 / $1,475.41	Facility		$581.66	$901.57	$1,475.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $822.70 / $938.66 / $1,722.15	Professional		$822.70	$938.66	$1,722.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.37 / $1,046.54 / $1,145.70	Facility		$741.37	$1,046.54	$1,145.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.03 / $1,262.92 / $7,339.00	Facility		$704.03	$1,262.92	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $843.68 / $1,096.86 / $1,509.65	Professional		$843.68	$1,096.86	$1,509.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,041.86 / $1,121.42 / $1,541.20	Professional		$1,041.86	$1,121.42	$1,541.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $1,019.52 / $1,499.81	Professional		$632.00	$1,019.52	$1,499.81