Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.13 / $7,920.26 / $20,400.00	Facility		$1,501.13	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.07 / $814.24 / $1,678.21	Professional		$603.07	$814.24	$1,678.21
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 $692.58 / $1,149.96 / $1,807.93	Professional		$692.58	$1,149.96	$1,807.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.30 / $1,426.80 / $1,585.33	Professional		$684.30	$1,426.80	$1,585.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $708.31 / $1,098.03 / $1,939.13	Facility		$708.31	$1,098.03	$1,939.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.55 / $1,145.71 / $2,035.26	Professional		$1,048.55	$1,145.71	$2,035.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $932.07 / $1,298.46 / $1,369.48	Facility		$932.07	$1,298.46	$1,369.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.01 / $1,582.71 / $6,437.00	Facility		$804.01	$1,582.71	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.59 / $1,301.30 / $1,796.96	Professional		$1,047.59	$1,301.30	$1,796.96
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 Professional Modifier Low / Median / High Price $1,231.29 / $1,324.06 / $1,858.54	Professional		$1,231.29	$1,324.06	$1,858.54
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 $880.41 / $1,279.08 / $1,824.63	Professional		$880.41	$1,279.08	$1,824.63