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 $655.03 / $993.94 / $2,311.19	Professional		$655.03	$993.94	$2,311.19
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 $842.43 / $1,388.05 / $2,122.56	Professional		$842.43	$1,388.05	$2,122.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,371.13 / $1,606.52 / $1,927.36	Professional		$1,371.13	$1,606.52	$1,927.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.89 / $1,315.44 / $1,747.60	Facility		$923.89	$1,315.44	$1,747.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.86 / $1,270.80 / $1,943.22	Professional		$1,089.86	$1,270.80	$1,943.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $966.14 / $1,353.44 / $1,475.34	Facility		$966.14	$1,353.44	$1,475.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.99 / $1,432.01 / $2,919.00	Facility		$947.99	$1,432.01	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,236.59 / $1,469.14 / $2,013.40	Professional		$1,236.59	$1,469.14	$2,013.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,340.15 / $1,718.66 / $2,309.90	Professional		$1,340.15	$1,718.66	$2,309.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $8,090.00 / $12,786.00	Facility		$1,981.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.79 / $1,429.00 / $2,233.38	Professional		$1,014.79	$1,429.00	$2,233.38