Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.39 / $12,139.66 / $15,978.56	Facility		$1,110.39	$12,139.66	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.31 / $5,512.88 / $13,347.60	Professional		$508.31	$5,512.88	$13,347.60
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 $770.76 / $5,030.49 / $16,550.27	Professional		$770.76	$5,030.49	$16,550.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.72 / $5,119.99 / $13,588.23	Professional		$1,037.72	$5,119.99	$13,588.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $706.15 / $5,119.99 / $17,711.37	Facility		$706.15	$5,119.99	$17,711.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $863.24 / $1,617.96 / $13,379.39	Professional		$863.24	$1,617.96	$13,379.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,012.37 / $10,605.14 / $13,646.56	Facility		$1,012.37	$10,605.14	$13,646.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $706.15 / $9,376.17 / $14,912.06	Facility		$706.15	$9,376.17	$14,912.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $960.74 / $8,009.86 / $15,800.40	Professional		$960.74	$8,009.86	$15,800.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $980.81 / $1,745.58 / $17,654.66	Professional		$980.81	$1,745.58	$17,654.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,646.66 / $13,789.02 / $18,611.43	Professional		$9,646.66	$13,789.02	$18,611.43