Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.54 / $8,878.56 / $20,400.00	Facility		$1,383.54	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.15 / $964.80 / $2,052.05	Professional		$535.15	$964.80	$2,052.05
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 $633.97 / $984.64 / $1,635.33	Professional		$633.97	$984.64	$1,635.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.32 / $1,315.84 / $1,462.04	Professional		$632.32	$1,315.84	$1,462.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $638.15 / $1,105.17 / $1,776.23	Facility		$638.15	$1,105.17	$1,776.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $862.20 / $1,055.15 / $1,874.64	Professional		$862.20	$1,055.15	$1,874.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.32 / $1,189.92 / $1,257.58	Facility		$865.32	$1,189.92	$1,257.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.50 / $1,455.84 / $7,339.00	Facility		$768.50	$1,455.84	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.74 / $1,198.59 / $1,652.91	Professional		$961.74	$1,198.59	$1,652.91
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 $1,134.11 / $1,220.44 / $1,703.18	Professional		$1,134.11	$1,220.44	$1,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.98 / $1,136.64 / $1,672.10	Professional		$767.98	$1,136.64	$1,672.10