Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $7,920.26 / $20,400.00	Facility		$1,039.14	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.49 / $709.57 / $1,544.15	Professional		$413.49	$709.57	$1,544.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.80 / $867.80 / $1,425.75	Professional		$552.80	$867.80	$1,425.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.94 / $1,086.70 / $1,333.19	Professional		$581.94	$1,086.70	$1,333.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $539.04 / $903.29 / $1,358.71	Facility		$539.04	$903.29	$1,358.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $751.23 / $906.79 / $1,483.84	Professional		$751.23	$906.79	$1,483.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $669.48 / $1,042.10 / $1,144.35	Facility		$669.48	$1,042.10	$1,144.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.65 / $1,033.23 / $5,478.00	Facility		$595.65	$1,033.23	$5,478.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $792.66 / $1,053.85 / $1,397.40	Professional		$792.66	$1,053.85	$1,397.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.82 / $1,098.64 / $1,484.88	Professional		$851.82	$1,098.64	$1,484.88
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 $685.43 / $1,046.49 / $1,648.63	Professional		$685.43	$1,046.49	$1,648.63