Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $1,090.78 / $2,133.89	Professional		$706.44	$1,090.78	$2,133.89
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 $873.35 / $1,524.30 / $2,377.81	Professional		$873.35	$1,524.30	$2,377.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,492.46 / $1,748.15 / $2,097.29	Professional		$1,492.46	$1,748.15	$2,097.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $807.81 / $1,342.55 / $1,950.75	Facility		$807.81	$1,342.55	$1,950.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $919.38 / $1,413.35 / $2,131.87	Professional		$919.38	$1,413.35	$2,131.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $935.76 / $1,545.69 / $1,620.06	Facility		$935.76	$1,545.69	$1,620.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.12 / $1,556.27 / $5,217.00	Facility		$826.12	$1,556.27	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,342.32 / $1,630.64 / $2,217.69	Professional		$1,342.32	$1,630.64	$2,217.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,474.85 / $1,887.25 / $2,536.48	Professional		$1,474.85	$1,887.25	$2,536.48
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 $1,084.29 / $1,626.44 / $2,484.34	Professional		$1,084.29	$1,626.44	$2,484.34