Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $11,748.98 / $24,547.09	Facility		$1,148.15	$11,748.98	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,318.26	Professional		$724.44	$870.96	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,995.26	Professional		$851.14	$1,202.26	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,548.82	Professional		$1,047.13	$1,380.38	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,344.23	Facility		$794.33	$1,148.15	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,380.38	Professional		$1,000.00	$1,230.27	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $794.33 / $1,412.54	Facility		$724.44	$794.33	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,698.24	Facility		$758.58	$1,148.15	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,949.84	Professional		$79.43	$1,122.02	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $1,995.26	Professional		$1,412.54	$1,621.81	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,089.30	Professional		$912.01	$1,380.38	$2,089.30