Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.83 / $7,920.26 / $20,400.00	Facility		$1,099.83	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.89 / $687.41 / $1,221.66	Professional		$541.89	$687.41	$1,221.66
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 $543.19 / $843.48 / $1,352.51	Professional		$543.19	$843.48	$1,352.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.79 / $1,063.59 / $1,198.42	Professional		$519.79	$1,063.59	$1,198.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.10 / $880.83 / $1,402.96	Facility		$538.10	$880.83	$1,402.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $789.36 / $880.80 / $1,490.37	Professional		$789.36	$880.80	$1,490.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.67 / $981.50 / $1,054.55	Facility		$684.67	$981.50	$1,054.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.92 / $928.77 / $1,381.92	Facility		$588.92	$928.77	$1,381.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.00 / $984.85 / $1,338.98	Professional		$793.00	$984.85	$1,338.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,428.83 / $1,813.69 / $2,182.61	Facility		$1,428.83	$1,813.69	$2,182.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $901.64 / $987.09 / $1,383.81	Professional		$901.64	$987.09	$1,383.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.19 / $966.89 / $1,379.29	Professional		$703.19	$966.89	$1,379.29