Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.15 / $2,747.00 / $15,341.00	Facility		$1,326.15	$2,747.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.19 / $877.45 / $1,935.95	Professional		$557.19	$877.45	$1,935.95
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 $744.00 / $1,268.58 / $1,953.53	Professional		$744.00	$1,268.58	$1,953.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.81 / $1,482.89 / $1,763.80	Professional		$1,173.81	$1,482.89	$1,763.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.40 / $1,147.08 / $1,821.85	Facility		$612.40	$1,147.08	$1,821.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $945.75 / $1,170.16 / $1,835.10	Professional		$945.75	$1,170.16	$1,835.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $850.08 / $1,309.11 / $1,442.25	Facility		$850.08	$1,309.11	$1,442.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.58 / $1,173.66 / $2,052.06	Facility		$675.58	$1,173.66	$2,052.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,062.33 / $1,378.64 / $1,883.20	Professional		$1,062.33	$1,378.64	$1,883.20
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 $1,089.83 / $1,449.13 / $2,020.07	Professional		$1,089.83	$1,449.13	$2,020.07
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 $925.76 / $1,391.61 / $2,113.67	Professional		$925.76	$1,391.61	$2,113.67