Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.96 / $7,920.26 / $20,400.00	Facility		$1,441.96	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.54 / $719.27 / $2,071.23	Professional		$480.54	$719.27	$2,071.23
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 $665.94 / $1,231.46 / $1,808.75	Professional		$665.94	$1,231.46	$1,808.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.80 / $1,433.69 / $1,720.02	Professional		$1,220.80	$1,433.69	$1,720.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $719.27 / $1,086.18 / $1,433.03	Facility		$719.27	$1,086.18	$1,433.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,089.92 / $1,725.60	Professional		$864.00	$1,089.92	$1,725.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $728.42 / $1,106.36 / $1,320.57	Facility		$728.42	$1,106.36	$1,320.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,182.96 / $5,217.00	Facility		$842.00	$1,182.96	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $965.31 / $1,307.52 / $1,802.28	Professional		$965.31	$1,307.52	$1,802.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,151.49 / $1,538.37 / $2,067.58	Professional		$1,151.49	$1,538.37	$2,067.58
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 $833.52 / $1,221.46 / $1,954.05	Professional		$833.52	$1,221.46	$1,954.05