Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.91 / $7,920.26 / $20,400.00	Facility		$1,593.91	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.10 / $984.23 / $2,294.79	Professional		$653.10	$984.23	$2,294.79
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 $869.04 / $1,406.75 / $2,129.76	Professional		$869.04	$1,406.75	$2,129.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.67 / $1,586.76 / $1,903.66	Professional		$1,354.67	$1,586.76	$1,903.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.93 / $1,387.19 / $1,801.22	Facility		$954.93	$1,387.19	$1,801.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.80 / $1,283.40 / $1,929.23	Professional		$1,075.80	$1,283.40	$1,929.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.49 / $1,344.54 / $1,467.97	Facility		$1,000.49	$1,344.54	$1,467.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $961.92 / $1,467.21 / $5,217.00	Facility		$961.92	$1,467.21	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,246.08 / $1,458.44 / $2,006.00	Professional		$1,246.08	$1,458.44	$2,006.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,335.23 / $1,710.08 / $2,298.36	Professional		$1,335.23	$1,710.08	$2,298.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $987.86 / $1,410.32 / $2,236.61	Professional		$987.86	$1,410.32	$2,236.61