Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,534.28 / $7,920.26 / $20,400.00	Facility		$1,534.28	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.86 / $961.10 / $2,209.41	Professional		$630.86	$961.10	$2,209.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.22 / $1,324.26 / $2,041.28	Professional		$821.22	$1,324.26	$2,041.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,308.48 / $1,532.66 / $1,838.75	Professional		$1,308.48	$1,532.66	$1,838.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $1,269.76 / $1,662.12	Facility		$972.00	$1,269.76	$1,662.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.80 / $1,222.02 / $1,859.38	Professional		$1,090.80	$1,222.02	$1,859.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $944.78 / $1,305.83 / $1,411.69	Facility		$944.78	$1,305.83	$1,411.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $1,393.58 / $5,217.00	Facility		$972.00	$1,393.58	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,194.60 / $1,404.18 / $1,929.31	Professional		$1,194.60	$1,404.18	$1,929.31
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 $1,284.18 / $1,644.51 / $2,210.23	Professional		$1,284.18	$1,644.51	$2,210.23
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 $965.79 / $1,360.00 / $2,125.54	Professional		$965.79	$1,360.00	$2,125.54