Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.01 / $4,684.68 / $8,728.00	Facility		$1,496.01	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.04 / $1,040.78 / $2,330.29	Professional		$658.04	$1,040.78	$2,330.29
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 $847.31 / $1,405.97 / $2,113.30	Professional		$847.31	$1,405.97	$2,113.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.14 / $1,601.71 / $1,898.70	Professional		$1,351.14	$1,601.71	$1,898.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.78 / $1,333.62 / $2,237.67	Facility		$1,040.78	$1,333.62	$2,237.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.07 / $1,314.56 / $2,393.55	Professional		$1,204.07	$1,314.56	$2,393.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.92 / $1,382.21 / $1,502.81	Facility		$986.92	$1,382.21	$1,502.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $988.74 / $1,401.82 / $1,920.43	Facility		$988.74	$1,401.82	$1,920.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,314.56 / $1,527.72 / $2,095.89	Professional		$1,314.56	$1,527.72	$2,095.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,376.44 / $1,757.73 / $2,352.91	Professional		$1,376.44	$1,757.73	$2,352.91
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.50 / $1,423.47 / $2,224.73	Professional		$1,031.50	$1,423.47	$2,224.73