Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.32 / $2,747.00 / $7,920.26	Facility		$1,529.32	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.08 / $1,080.46 / $2,471.35	Professional		$715.08	$1,080.46	$2,471.35
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 $962.61 / $1,636.99 / $2,450.64	Professional		$962.61	$1,636.99	$2,450.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,522.14 / $1,894.33 / $2,212.64	Professional		$1,522.14	$1,894.33	$2,212.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $927.57 / $1,487.64 / $2,124.25	Facility		$927.57	$1,487.64	$2,124.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.98 / $1,481.60 / $2,299.89	Professional		$1,281.98	$1,481.60	$2,299.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $1,676.55 / $1,833.12	Facility		$1,068.00	$1,676.55	$1,833.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $927.57 / $1,487.64 / $2,322.98	Facility		$927.57	$1,487.64	$2,322.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,418.56 / $1,730.10 / $2,370.73	Professional		$1,418.56	$1,730.10	$2,370.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,434.23 / $9,638.43 / $12,117.15	Facility		$5,434.23	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,430.56 / $1,944.58 / $2,531.71	Professional		$1,430.56	$1,944.58	$2,531.71
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 $1,215.35 / $1,772.41 / $2,816.30	Professional		$1,215.35	$1,772.41	$2,816.30