Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.74 / $4,962.67 / $15,341.00	Facility		$1,411.74	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.75 / $896.90 / $2,035.51	Professional		$591.75	$896.90	$2,035.51
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 $793.20 / $1,264.02 / $1,856.08	Professional		$793.20	$1,264.02	$1,856.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.74 / $1,413.48 / $1,695.77	Professional		$1,206.74	$1,413.48	$1,695.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.28 / $1,242.72 / $1,700.67	Facility		$870.28	$1,242.72	$1,700.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $995.40 / $1,140.01 / $1,710.02	Professional		$995.40	$1,140.01	$1,710.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.29 / $1,191.60 / $1,299.80	Facility		$866.29	$1,191.60	$1,299.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.28 / $1,341.82 / $2,919.00	Facility		$870.28	$1,341.82	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,127.78 / $1,295.65 / $1,774.08	Professional		$1,127.78	$1,295.65	$1,774.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,180.85 / $1,514.17 / $2,035.06	Professional		$1,180.85	$1,514.17	$2,035.06
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 $909.50 / $1,273.30 / $1,989.11	Professional		$909.50	$1,273.30	$1,989.11