Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.68 / $8,878.56 / $20,400.00	Facility		$1,423.68	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.33 / $993.45 / $2,243.39	Professional		$566.33	$993.45	$2,243.39
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 $653.05 / $1,091.70 / $1,722.29	Professional		$653.05	$1,091.70	$1,722.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.89 / $1,355.99 / $1,506.66	Professional		$651.89	$1,355.99	$1,506.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.20 / $1,019.13 / $1,829.91	Facility		$672.20	$1,019.13	$1,829.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $960.05 / $1,087.42 / $1,928.52	Professional		$960.05	$1,087.42	$1,928.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.61 / $1,224.76 / $1,295.10	Facility		$870.61	$1,224.76	$1,295.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.95 / $1,497.59 / $7,339.00	Facility		$791.95	$1,497.59	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $994.68 / $1,233.05 / $1,700.32	Professional		$994.68	$1,233.05	$1,700.32
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 $1,166.71 / $1,258.48 / $1,753.05	Professional		$1,166.71	$1,258.48	$1,753.05
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 $836.81 / $1,214.10 / $2,018.22	Professional		$836.81	$1,214.10	$2,018.22