Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,501.19 / $4,962.67 / $15,341.00	Facility		$2,501.19	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.66 / $1,296.15 / $3,956.59	Professional		$555.66	$1,296.15	$3,956.59
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 $1,151.73 / $2,374.30 / $3,725.04	Professional		$1,151.73	$2,374.30	$3,725.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,322.91 / $2,725.81 / $3,264.28	Professional		$2,322.91	$2,725.81	$3,264.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $929.20 / $1,757.60 / $3,025.35	Facility		$929.20	$1,757.60	$3,025.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $967.20 / $2,115.26 / $3,236.37	Professional		$967.20	$2,115.26	$3,236.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,009.36 / $2,378.31 / $2,537.96	Facility		$1,009.36	$2,378.31	$2,537.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.96 / $1,757.60 / $3,778.84	Facility		$968.96	$1,757.60	$3,778.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,731.85 / $2,542.32 / $3,478.54	Professional		$1,731.85	$2,542.32	$3,478.54
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 $2,312.51 / $2,956.53 / $3,973.61	Professional		$2,312.51	$2,956.53	$3,973.61
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 $1,199.22 / $2,519.29 / $3,963.05	Professional		$1,199.22	$2,519.29	$3,963.05