Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.20 / $1,924.00 / $13,746.00	Facility		$1,444.20	$1,924.00	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.41 / $952.97 / $2,100.04	Professional		$608.41	$952.97	$2,100.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.33 / $1,408.76 / $2,132.71	Professional		$815.33	$1,408.76	$2,132.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,273.06 / $1,608.90 / $1,908.60	Professional		$1,273.06	$1,608.90	$1,908.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $768.81 / $1,247.40 / $1,920.15	Facility		$768.81	$1,247.40	$1,920.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.01 / $1,249.90 / $1,962.06	Professional		$1,029.01	$1,249.90	$1,962.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $907.01 / $1,423.36 / $1,577.60	Facility		$907.01	$1,423.36	$1,577.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.67 / $1,269.21 / $2,048.89	Facility		$776.67	$1,269.21	$2,048.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,173.25 / $1,488.03 / $2,046.70	Professional		$1,173.25	$1,488.03	$2,046.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,743.41 / $6,039.89	Facility		$3,709.94	$4,743.41	$6,039.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,187.01 / $1,578.92 / $2,191.57	Professional		$1,187.01	$1,578.92	$2,191.57
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 $1,005.14 / $1,501.44 / $2,323.94	Professional		$1,005.14	$1,501.44	$2,323.94