Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.24 / $7,920.26 / $13,320.00	Facility		$1,058.24	$7,920.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.71 / $659.96 / $1,456.37	Professional		$487.71	$659.96	$1,456.37
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 $566.51 / $945.27 / $1,489.20	Professional		$566.51	$945.27	$1,489.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.66 / $1,173.81 / $1,304.23	Professional		$563.66	$1,173.81	$1,304.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $579.82 / $873.67 / $1,582.78	Facility		$579.82	$873.67	$1,582.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $941.94 / $1,670.31	Professional		$819.00	$941.94	$1,670.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $708.54 / $1,062.61 / $1,119.57	Facility		$708.54	$1,062.61	$1,119.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $661.07 / $1,298.45 / $5,852.00	Facility		$661.07	$1,298.45	$5,852.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $861.83 / $1,067.95 / $1,474.22	Professional		$861.83	$1,067.95	$1,474.22
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 $1,010.50 / $1,089.94 / $1,520.97	Professional		$1,010.50	$1,089.94	$1,520.97
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 $724.74 / $1,030.90 / $1,448.94	Professional		$724.74	$1,030.90	$1,448.94