Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.16 / $4,962.67 / $15,341.00	Facility		$1,313.16	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $737.28 / $2,335.00	Professional		$505.37	$737.28	$2,335.00
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 $653.26 / $1,083.96 / $1,627.67	Professional		$653.26	$1,083.96	$1,627.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,126.48 / $1,321.66 / $1,585.62	Professional		$1,126.48	$1,321.66	$1,585.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.75 / $1,018.80 / $1,337.05	Facility		$733.75	$1,018.80	$1,337.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $871.20 / $1,005.89 / $1,594.76	Professional		$871.20	$1,005.89	$1,594.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.67 / $1,051.90 / $1,212.03	Facility		$760.67	$1,051.90	$1,212.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,102.48 / $1,710.50	Facility		$736.00	$1,102.48	$1,710.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $964.92 / $1,160.25 / $1,615.43	Professional		$964.92	$1,160.25	$1,615.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,036.21 / $1,411.92 / $1,897.64	Professional		$1,036.21	$1,411.92	$1,897.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.50 / $1,127.29 / $1,724.35	Professional		$799.50	$1,127.29	$1,724.35