Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.80 / $7,920.26 / $20,400.00	Facility		$1,620.80	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.54 / $870.26 / $2,333.83	Professional		$577.54	$870.26	$2,333.83
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 $788.33 / $1,391.22 / $2,147.25	Professional		$788.33	$1,391.22	$2,147.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,379.17 / $1,615.45 / $1,938.08	Professional		$1,379.17	$1,615.45	$1,938.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.26 / $1,310.44 / $1,733.04	Facility		$870.26	$1,310.44	$1,733.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.80 / $1,279.74 / $1,961.55	Professional		$1,020.80	$1,279.74	$1,961.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $887.39 / $1,351.16 / $1,492.09	Facility		$887.39	$1,351.16	$1,492.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $955.77 / $1,339.20 / $5,217.00	Facility		$955.77	$1,339.20	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,154.64 / $1,481.77 / $2,039.27	Professional		$1,154.64	$1,481.77	$2,039.27
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 $1,357.37 / $1,738.17 / $2,336.12	Professional		$1,357.37	$1,738.17	$2,336.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $978.31 / $1,415.61 / $2,264.64	Professional		$978.31	$1,415.61	$2,264.64