Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.42 / $4,962.67 / $15,341.00	Facility		$1,522.42	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.87 / $950.13 / $2,946.42	Professional		$604.87	$950.13	$2,946.42
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 $806.94 / $1,548.77 / $2,502.38	Professional		$806.94	$1,548.77	$2,502.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,717.76 / $2,035.76 / $2,442.33	Professional		$1,717.76	$2,035.76	$2,442.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.31 / $1,301.98 / $1,802.96	Facility		$988.31	$1,301.98	$1,802.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.67 / $1,478.40 / $2,411.78	Professional		$977.67	$1,478.40	$2,411.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.10 / $1,521.42 / $1,868.63	Facility		$872.10	$1,521.42	$1,868.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.63 / $1,352.96 / $3,065.00	Facility		$1,000.63	$1,352.96	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,182.69 / $1,793.28 / $2,451.75	Professional		$1,182.69	$1,793.28	$2,451.75
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 $1,389.91 / $2,114.81 / $2,925.66	Professional		$1,389.91	$2,114.81	$2,925.66
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 $973.35 / $1,544.41 / $2,525.62	Professional		$973.35	$1,544.41	$2,525.62