Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.02 / $4,962.67 / $15,341.00	Facility		$1,369.02	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.80 / $644.41 / $1,622.23	Professional		$545.80	$644.41	$1,622.23
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 $723.76 / $1,186.08 / $1,813.90	Professional		$723.76	$1,186.08	$1,813.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.43 / $1,372.13 / $1,646.16	Professional		$1,171.43	$1,372.13	$1,646.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $811.22 / $1,128.96 / $1,488.35	Facility		$811.22	$1,128.96	$1,488.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $955.25 / $1,093.06 / $1,661.99	Professional		$955.25	$1,093.06	$1,661.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.75 / $1,165.80 / $1,261.60	Facility		$851.75	$1,165.80	$1,261.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $811.22 / $1,135.83 / $1,599.50	Facility		$811.22	$1,135.83	$1,599.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,059.59 / $1,255.95 / $1,722.34	Professional		$1,059.59	$1,255.95	$1,722.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,145.80 / $1,469.68 / $1,975.27	Professional		$1,145.80	$1,469.68	$1,975.27
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 $881.20 / $1,286.99 / $1,982.05	Professional		$881.20	$1,286.99	$1,982.05