Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,377.08 / $42,921.00	Facility		$2,747.00	$11,377.08	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.66 / $1,138.51 / $1,607.35	Professional		$594.66	$1,138.51	$1,607.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.00 / $1,318.00 / $1,318.00	Facility		$1,318.00	$1,318.00	$1,318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.31 / $1,251.33 / $2,003.93	Professional		$748.31	$1,251.33	$2,003.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.59 / $1,586.35 / $1,761.87	Professional		$1,219.59	$1,586.35	$1,761.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.37 / $1,213.08 / $1,997.44	Facility		$809.37	$1,213.08	$1,997.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.00 / $1,219.16 / $1,362.06	Professional		$1,026.00	$1,219.16	$1,362.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $726.58 / $1,004.99 / $1,420.40	Facility		$726.58	$1,004.99	$1,420.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $867.78 / $1,482.56 / $8,861.00	Facility		$867.78	$1,482.56	$8,861.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.92 / $1,349.76 / $1,932.67	Professional		$920.92	$1,349.76	$1,932.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,401.04 / $1,509.65 / $2,108.84	Professional		$1,401.04	$1,509.65	$2,108.84
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 $941.84 / $1,394.69 / $2,085.92	Professional		$941.84	$1,394.69	$2,085.92