Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.77 / $4,704.00 / $8,728.00	Facility		$1,340.77	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.10 / $686.41 / $1,340.77	Professional		$446.10	$686.41	$1,340.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.30 / $978.08 / $1,610.62	Professional		$621.30	$978.08	$1,610.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $609.62 / $1,262.71 / $1,405.75	Professional		$609.62	$1,262.71	$1,405.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.62 / $944.91 / $1,593.88	Facility		$609.62	$944.91	$1,593.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $873.68 / $999.18 / $1,816.68	Professional		$873.68	$999.18	$1,816.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $793.61 / $1,101.48 / $1,206.00	Facility		$793.61	$1,101.48	$1,206.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.43 / $1,363.23 / $3,023.00	Facility		$713.43	$1,363.23	$3,023.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $888.22 / $1,157.08 / $1,590.75	Professional		$888.22	$1,157.08	$1,590.75
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 $1,099.06 / $1,180.44 / $1,625.81	Professional		$1,099.06	$1,180.44	$1,625.81
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 $764.26 / $1,122.25 / $1,577.01	Professional		$764.26	$1,122.25	$1,577.01