Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.23 / $4,962.67 / $15,341.00	Facility		$1,256.23	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.99 / $762.51 / $1,813.43	Professional		$499.99	$762.51	$1,813.43
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 $643.50 / $1,080.24 / $1,660.59	Professional		$643.50	$1,080.24	$1,660.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.70 / $1,257.65 / $1,508.82	Professional		$1,073.70	$1,257.65	$1,508.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $736.50 / $1,021.94 / $1,349.80	Facility		$736.50	$1,021.94	$1,349.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $875.63 / $1,001.92 / $1,522.26	Professional		$875.63	$1,001.92	$1,522.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.16 / $1,066.64 / $1,158.43	Facility		$776.16	$1,066.64	$1,158.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.47 / $1,107.48 / $2,402.00	Facility		$758.47	$1,107.48	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.61 / $1,150.85 / $1,579.12	Professional		$954.61	$1,150.85	$1,579.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,051.08 / $1,349.48 / $1,813.72	Professional		$1,051.08	$1,349.48	$1,813.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.60 / $1,134.00 / $1,770.52	Professional		$777.60	$1,134.00	$1,770.52