Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.58 / $933.18 / $2,207.35	Professional		$615.58	$933.18	$2,207.35
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 $792.55 / $1,317.46 / $1,998.06	Professional		$792.55	$1,317.46	$1,998.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,309.11 / $1,535.08 / $1,841.66	Professional		$1,309.11	$1,535.08	$1,841.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.66 / $1,243.16 / $1,637.95	Facility		$922.66	$1,243.16	$1,637.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.08 / $1,201.76 / $1,854.14	Professional		$1,030.08	$1,201.76	$1,854.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $936.54 / $1,291.83 / $1,408.34	Facility		$936.54	$1,291.83	$1,408.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.12 / $1,359.66 / $2,919.00	Facility		$932.12	$1,359.66	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,165.80 / $1,394.68 / $1,922.84	Professional		$1,165.80	$1,394.68	$1,922.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,272.01 / $1,640.61 / $2,205.00	Professional		$1,272.01	$1,640.61	$2,205.00
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 $940.80 / $1,373.41 / $2,155.91	Professional		$940.80	$1,373.41	$2,155.91