Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.06 / $2,747.00 / $7,920.26	Facility		$1,617.06	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.12 / $1,004.36 / $2,599.82	Professional		$618.12	$1,004.36	$2,599.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.20 / $1,589.99 / $2,653.48	Professional		$832.20	$1,589.99	$2,653.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,558.84 / $1,950.22 / $2,357.69	Professional		$1,558.84	$1,950.22	$2,357.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $735.63 / $1,430.42 / $1,956.66	Facility		$735.63	$1,430.42	$1,956.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,347.30 / $2,425.65	Professional		$976.14	$1,347.30	$2,425.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.45 / $1,435.71 / $1,924.91	Facility		$960.45	$1,435.71	$1,924.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $770.08 / $1,449.38 / $2,530.57	Facility		$770.08	$1,449.38	$2,530.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,159.89 / $1,852.94 / $2,543.01	Professional		$1,159.89	$1,852.94	$2,543.01
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 $1,361.51 / $1,928.06 / $2,729.79	Professional		$1,361.51	$1,928.06	$2,729.79
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 $1,092.64 / $1,663.86 / $2,718.65	Professional		$1,092.64	$1,663.86	$2,718.65