Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,479.11	Professional		$707.95	$977.24	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,548.13 / $4,365.16	Professional		$1,258.93	$3,548.13	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,949.84	Facility		$1,000.00	$1,230.27	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,778.28	Professional		$1,202.26	$1,318.26	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,137.96	Facility		$1,288.25	$1,584.89	$2,137.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $2,137.96	Professional		$1,479.11	$1,621.81	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,089.30	Facility		$870.96	$1,445.44	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,412.54 / $1,698.24	Professional		$87.10	$1,412.54	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $6,309.57	Facility		$1,348.96	$2,290.87	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $1,819.70	Professional		$1,659.59	$1,819.70	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $3,548.13	Facility		$812.83	$1,096.48	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $1,548.82	Professional		$741.31	$812.83	$1,548.82