Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,117.59 / $7,920.26 / $20,400.00	Facility		$2,117.59	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.34 / $1,395.29 / $3,369.84	Professional		$893.34	$1,395.29	$3,369.84
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 $1,122.21 / $2,013.59 / $3,169.43	Professional		$1,122.21	$2,013.59	$3,169.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,983.35 / $2,323.15 / $2,787.11	Professional		$1,983.35	$2,323.15	$2,787.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $948.30 / $1,788.70 / $2,625.65	Facility		$948.30	$1,788.70	$2,625.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $974.16 / $1,881.76 / $2,838.40	Professional		$974.16	$1,881.76	$2,838.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,238.16 / $2,023.30 / $2,159.41	Facility		$1,238.16	$2,023.30	$2,159.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $948.30 / $2,034.12 / $5,217.00	Facility		$948.30	$2,034.12	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,749.93 / $2,180.50 / $2,959.68	Professional		$1,749.93	$2,180.50	$2,959.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,965.02 / $2,515.55 / $3,380.93	Professional		$1,965.02	$2,515.55	$3,380.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,447.60 / $2,156.00 / $3,310.03	Professional		$1,447.60	$2,156.00	$3,310.03