Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.54 / $8,878.56 / $20,400.00	Facility		$1,419.54	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.32 / $766.00 / $1,650.00	Professional		$565.32	$766.00	$1,650.00
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 $650.57 / $1,087.09 / $1,716.59	Professional		$650.57	$1,087.09	$1,716.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.73 / $1,351.43 / $1,501.59	Professional		$649.73	$1,351.43	$1,501.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.71 / $1,017.06 / $1,824.36	Facility		$670.71	$1,017.06	$1,824.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $958.10 / $1,084.02 / $1,923.45	Professional		$958.10	$1,084.02	$1,923.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $887.60 / $1,220.74 / $1,289.75	Facility		$887.60	$1,220.74	$1,289.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.10 / $1,493.58 / $7,339.00	Facility		$763.10	$1,493.58	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $990.90 / $1,229.80 / $1,695.76	Professional		$990.90	$1,229.80	$1,695.76
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 Facility Modifier 50 Low / Median / High Price $13,220.90 / $17,916.71 / $21,710.84	Facility	50	$13,220.90	$17,916.71	$21,710.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,163.64 / $1,255.20 / $1,747.30	Professional		$1,163.64	$1,255.20	$1,747.30
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 $823.50 / $1,166.07 / $1,715.40	Professional		$823.50	$1,166.07	$1,715.40