Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.30 / $4,962.67 / $15,341.00	Facility		$1,409.30	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.23 / $885.17 / $2,029.65	Professional		$579.23	$885.17	$2,029.65
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 $753.77 / $1,227.81 / $1,874.60	Professional		$753.77	$1,227.81	$1,874.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.08 / $1,404.52 / $1,685.03	Professional		$1,199.08	$1,404.52	$1,685.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.68 / $1,164.98 / $1,538.50	Facility		$851.68	$1,164.98	$1,538.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.60 / $1,128.40 / $1,706.54	Professional		$1,011.60	$1,128.40	$1,706.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $879.85 / $1,205.33 / $1,297.79	Facility		$879.85	$1,205.33	$1,297.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $885.17 / $1,261.78 / $2,919.00	Facility		$885.17	$1,261.78	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,098.80 / $1,291.05 / $1,773.16	Professional		$1,098.80	$1,291.05	$1,773.16
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 $1,180.24 / $1,511.83 / $2,031.91	Professional		$1,180.24	$1,511.83	$2,031.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $896.70 / $1,262.70 / $1,973.47	Professional		$896.70	$1,262.70	$1,973.47