Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.60 / $4,704.00 / $8,728.00	Facility		$1,236.60	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.97 / $861.09 / $1,829.83	Professional		$448.97	$861.09	$1,829.83
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 $537.76 / $899.67 / $1,488.35	Professional		$537.76	$899.67	$1,488.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.75 / $1,168.26 / $1,304.58	Professional		$565.75	$1,168.26	$1,304.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $565.75 / $876.91 / $1,420.80	Facility		$565.75	$876.91	$1,420.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $784.08 / $909.52 / $1,675.38	Professional		$784.08	$909.52	$1,675.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $666.49 / $1,010.36 / $1,114.21	Facility		$666.49	$1,010.36	$1,114.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.50 / $1,231.35 / $3,023.00	Facility		$654.50	$1,231.35	$3,023.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.01 / $1,064.65 / $1,474.67	Professional		$817.01	$1,064.65	$1,474.67
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 $1,013.57 / $1,090.59 / $1,499.35	Professional		$1,013.57	$1,090.59	$1,499.35
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 $677.70 / $999.70 / $1,449.80	Professional		$677.70	$999.70	$1,449.80