Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.11 / $4,962.67 / $15,341.00	Facility		$1,405.11	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.87 / $858.29 / $2,024.15	Professional		$559.87	$858.29	$2,024.15
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 $725.48 / $1,206.88 / $1,868.43	Professional		$725.48	$1,206.88	$1,868.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.54 / $1,402.70 / $1,682.85	Professional		$1,197.54	$1,402.70	$1,682.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $889.99 / $1,127.52 / $1,530.00	Facility		$889.99	$1,127.52	$1,530.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.72 / $1,116.00 / $1,703.05	Professional		$954.72	$1,116.00	$1,703.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $826.07 / $1,175.46 / $1,293.77	Facility		$826.07	$1,175.46	$1,293.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.99 / $1,250.77 / $2,919.00	Facility		$889.99	$1,250.77	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.92 / $1,286.09 / $1,767.61	Professional		$1,066.92	$1,286.09	$1,767.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,176.56 / $1,507.15 / $2,025.62	Professional		$1,176.56	$1,507.15	$2,025.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.80 / $1,257.85 / $1,965.91	Professional		$856.80	$1,257.85	$1,965.91