Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.55 / $8,878.56 / $20,400.00	Facility		$1,445.55	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.16 / $1,008.01 / $2,297.75	Professional		$577.16	$1,008.01	$2,297.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.61 / $1,107.35 / $1,747.38	Professional		$662.61	$1,107.35	$1,747.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.38 / $1,376.03 / $1,528.92	Professional		$661.38	$1,376.03	$1,528.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $683.10 / $1,048.10 / $1,862.31	Facility		$683.10	$1,048.10	$1,862.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.17 / $1,103.25 / $1,958.01	Professional		$977.17	$1,103.25	$1,958.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.52 / $1,243.52 / $1,315.21	Facility		$900.52	$1,243.52	$1,315.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.23 / $1,520.88 / $7,339.00	Facility		$781.23	$1,520.88	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,009.26 / $1,251.90 / $1,726.76	Professional		$1,009.26	$1,251.90	$1,726.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,184.55 / $1,277.50 / $1,779.90	Professional		$1,184.55	$1,277.50	$1,779.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $1,206.39 / $1,826.20	Professional		$849.46	$1,206.39	$1,826.20