Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.31 / $7,920.26 / $20,400.00	Facility		$1,361.31	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.23 / $879.66 / $1,950.69	Professional		$565.23	$879.66	$1,950.69
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 $761.59 / $1,205.91 / $1,815.32	Professional		$761.59	$1,205.91	$1,815.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.19 / $1,336.70 / $1,603.66	Professional		$1,141.19	$1,336.70	$1,603.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $876.02 / $1,135.74 / $1,506.20	Facility		$876.02	$1,135.74	$1,506.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,086.35 / $1,614.84	Professional		$976.14	$1,086.35	$1,614.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $848.36 / $1,173.17 / $1,236.82	Facility		$848.36	$1,173.17	$1,236.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $879.66 / $1,257.91 / $5,217.00	Facility		$879.66	$1,257.91	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.14 / $1,261.24 / $1,709.19	Professional		$1,107.14	$1,261.24	$1,709.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,128.58 / $1,440.80 / $1,936.45	Professional		$1,128.58	$1,440.80	$1,936.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.95 / $1,247.13 / $1,934.09	Professional		$864.95	$1,247.13	$1,934.09