Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.31 / $3,107.00 / $20,400.00	Facility		$1,426.31	$3,107.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $834.14 / $2,132.12	Professional		$596.79	$834.14	$2,132.12
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 $812.02 / $1,400.52 / $2,171.94	Professional		$812.02	$1,400.52	$2,171.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.56 / $1,620.24 / $1,961.01	Professional		$1,296.56	$1,620.24	$1,961.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.22 / $1,268.72 / $1,907.52	Facility		$887.22	$1,268.72	$1,907.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.68 / $1,313.87 / $1,962.63	Professional		$1,041.68	$1,313.87	$1,962.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $969.36 / $1,439.75 / $1,630.11	Facility		$969.36	$1,439.75	$1,630.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.22 / $1,328.60 / $2,205.69	Facility		$887.22	$1,328.60	$2,205.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,170.73 / $1,536.02 / $2,103.66	Professional		$1,170.73	$1,536.02	$2,103.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,539.74 / $4,494.80 / $5,709.03	Facility		$3,539.74	$4,494.80	$5,709.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,182.70 / $1,601.74 / $2,215.67	Professional		$1,182.70	$1,601.74	$2,215.67
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 $1,073.75 / $1,630.76 / $2,683.97	Professional		$1,073.75	$1,630.76	$2,683.97