Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.24 / $5,442.46 / $18,977.96	Facility		$1,134.24	$5,442.46	$18,977.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $771.49 / $1,824.93	Professional		$539.00	$771.49	$1,824.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.11 / $1,274.63 / $1,999.34	Professional		$763.11	$1,274.63	$1,999.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,193.52 / $1,445.13 / $1,805.17	Professional		$1,193.52	$1,445.13	$1,805.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,141.33 / $1,715.70	Facility		$798.00	$1,141.33	$1,715.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $934.96 / $1,196.76 / $1,796.05	Professional		$934.96	$1,196.76	$1,796.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $894.45 / $1,361.75 / $1,490.75	Facility		$894.45	$1,361.75	$1,490.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,187.71 / $2,038.17	Facility		$798.00	$1,187.71	$2,038.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.90 / $1,390.25 / $1,925.35	Professional		$1,047.90	$1,390.25	$1,925.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,049.24 / $1,462.43 / $2,009.87	Professional		$1,049.24	$1,462.43	$2,009.87
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 $1,014.29 / $1,455.87 / $2,443.15	Professional		$1,014.29	$1,455.87	$2,443.15