Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.94 / $7,920.26 / $20,400.00	Facility		$1,491.94	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.13 / $911.42 / $2,149.84	Professional		$594.13	$911.42	$2,149.84
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 $769.20 / $1,280.67 / $1,987.77	Professional		$769.20	$1,280.67	$1,987.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.90 / $1,488.64 / $1,785.94	Professional		$1,270.90	$1,488.64	$1,785.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $948.03 / $1,202.03 / $1,603.56	Facility		$948.03	$1,202.03	$1,603.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.88 / $1,171.19 / $1,806.98	Professional		$1,003.88	$1,171.19	$1,806.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $888.77 / $1,259.53 / $1,374.17	Facility		$888.77	$1,259.53	$1,374.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $948.03 / $1,298.80 / $5,217.00	Facility		$948.03	$1,298.80	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,101.54 / $1,364.08 / $1,876.64	Professional		$1,101.54	$1,364.08	$1,876.64
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 $1,249.13 / $1,600.81 / $2,151.50	Professional		$1,249.13	$1,600.81	$2,151.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.38 / $1,305.74 / $2,088.88	Professional		$894.38	$1,305.74	$2,088.88