Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.74 / $4,684.68 / $8,728.00	Facility		$1,434.74	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $1,008.02 / $2,295.28	Professional		$658.00	$1,008.02	$2,295.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.97 / $1,393.94 / $2,131.82	Professional		$856.97	$1,393.94	$2,131.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.34 / $1,586.37 / $1,903.19	Professional		$1,354.34	$1,586.37	$1,903.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $956.26 / $1,316.88 / $1,739.95	Facility		$956.26	$1,316.88	$1,739.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.40 / $1,276.11 / $1,930.12	Professional		$1,090.40	$1,276.11	$1,930.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.01 / $1,370.82 / $1,468.64	Facility		$1,000.01	$1,370.82	$1,468.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.00 / $1,433.41 / $2,525.54	Facility		$962.00	$1,433.41	$2,525.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,252.23 / $1,459.12 / $2,006.93	Professional		$1,252.23	$1,459.12	$2,006.93
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 $1,335.84 / $1,710.86 / $2,299.41	Professional		$1,335.84	$1,710.86	$2,299.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $996.96 / $1,422.57 / $2,239.83	Professional		$996.96	$1,422.57	$2,239.83