Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.14 / $7,920.26 / $20,400.00	Facility		$1,545.14	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.91 / $932.75 / $1,874.60	Professional		$601.91	$932.75	$1,874.60
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 $766.50 / $1,330.61 / $2,069.03	Professional		$766.50	$1,330.61	$2,069.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,306.45 / $1,530.28 / $1,835.89	Professional		$1,306.45	$1,530.28	$1,835.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.41 / $1,182.00 / $1,733.15	Facility		$681.41	$1,182.00	$1,733.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.70 / $1,238.42 / $1,857.63	Professional		$722.70	$1,238.42	$1,857.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $815.26 / $1,329.65 / $1,409.68	Facility		$815.26	$1,329.65	$1,409.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.41 / $1,358.44 / $5,217.00	Facility		$681.41	$1,358.44	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,173.63 / $1,424.50 / $1,934.86	Professional		$1,173.63	$1,424.50	$1,934.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,287.88 / $1,642.17 / $2,207.10	Professional		$1,287.88	$1,642.17	$2,207.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $10,749.25	Facility		$1,689.00	$5,517.00	$10,749.25
United Facility/Professional Professional Modifier Low / Median / High Price $932.89 / $1,399.33 / $2,169.39	Professional		$932.89	$1,399.33	$2,169.39