Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.69 / $7,920.26 / $20,400.00	Facility		$1,014.69	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.48 / $708.43 / $2,168.58	Professional		$403.48	$708.43	$2,168.58
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 $537.65 / $888.67 / $1,562.24	Professional		$537.65	$888.67	$1,562.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.28 / $1,075.93 / $1,447.06	Professional		$634.28	$1,075.93	$1,447.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.66 / $911.82 / $1,458.31	Facility		$496.66	$911.82	$1,458.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $733.89 / $983.65 / $1,456.71	Professional		$733.89	$983.65	$1,456.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $701.89 / $1,116.11 / $1,247.54	Facility		$701.89	$1,116.11	$1,247.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $584.07 / $1,067.75 / $6,123.60	Facility		$584.07	$1,067.75	$6,123.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.87 / $1,104.03 / $1,482.40	Professional		$784.87	$1,104.03	$1,482.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.52 / $1,183.00 / $1,621.38	Professional		$831.52	$1,183.00	$1,621.38
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 $798.70 / $1,152.34 / $1,804.65	Professional		$798.70	$1,152.34	$1,804.65