Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.87 / $7,920.26 / $23,002.12	Facility		$1,527.87	$7,920.26	$23,002.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.87 / $946.10 / $2,189.96	Professional		$613.87	$946.10	$2,189.96
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 $815.64 / $1,312.59 / $2,050.35	Professional		$815.64	$1,312.59	$2,050.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,293.33 / $1,514.91 / $1,817.46	Professional		$1,293.33	$1,514.91	$1,817.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $958.84 / $1,258.59 / $1,699.15	Facility		$958.84	$1,258.59	$1,699.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.00 / $1,198.80 / $1,839.29	Professional		$1,071.00	$1,198.80	$1,839.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.89 / $1,287.78 / $1,396.95	Facility		$960.89	$1,287.78	$1,396.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.10 / $1,258.59 / $1,779.70	Facility		$946.10	$1,258.59	$1,779.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,189.34 / $1,392.64 / $1,914.66	Professional		$1,189.34	$1,392.64	$1,914.66
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 $1,275.57 / $1,627.34 / $2,187.17	Professional		$1,275.57	$1,627.34	$2,187.17
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 $917.77 / $1,311.11 / $2,148.66	Professional		$917.77	$1,311.11	$2,148.66