Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.70 / $1,151.09 / $2,786.01	Professional		$733.70	$1,151.09	$2,786.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.00 / $1,654.24 / $2,598.92	Professional		$980.00	$1,654.24	$2,598.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,650.33 / $1,935.78 / $2,322.38	Professional		$1,650.33	$1,935.78	$2,322.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $893.05 / $1,523.52 / $2,106.30	Facility		$893.05	$1,523.52	$2,106.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.64 / $1,553.84 / $2,397.36	Professional		$1,256.64	$1,553.84	$2,397.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,155.50 / $1,653.56 / $1,824.41	Facility		$1,155.50	$1,653.56	$1,824.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $893.05 / $1,598.98 / $2,302.28	Facility		$893.05	$1,598.98	$2,302.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,457.30 / $1,789.00 / $2,479.09	Professional		$1,457.30	$1,789.00	$2,479.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,472.03 / $9,164.84 / $11,765.12	Facility		$4,472.03	$9,164.84	$11,765.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,650.74 / $2,125.30 / $2,856.43	Professional		$1,650.74	$2,125.30	$2,856.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.41 / $1,727.60 / $2,699.23	Professional		$1,187.41	$1,727.60	$2,699.23