Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.25 / $7,920.26 / $20,400.00	Facility		$1,520.25	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.23 / $965.59 / $2,186.13	Professional		$640.23	$965.59	$2,186.13
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 $857.70 / $1,352.78 / $2,026.87	Professional		$857.70	$1,352.78	$2,026.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,292.08 / $1,513.44 / $1,815.70	Professional		$1,292.08	$1,513.44	$1,815.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.59 / $1,337.16 / $1,757.94	Facility		$926.59	$1,337.16	$1,757.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.20 / $1,227.34 / $1,841.02	Professional		$1,096.20	$1,227.34	$1,841.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $949.14 / $1,305.16 / $1,398.29	Facility		$949.14	$1,305.16	$1,398.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.31 / $1,374.02 / $1,777.13	Facility		$917.31	$1,374.02	$1,777.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,226.35 / $1,396.50 / $1,913.60	Professional		$1,226.35	$1,396.50	$1,913.60
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 $1,273.73 / $1,628.90 / $2,189.26	Professional		$1,273.73	$1,628.90	$2,189.26
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 $989.00 / $1,364.82 / $2,203.32	Professional		$989.00	$1,364.82	$2,203.32