Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.84 / $7,920.26 / $13,320.00	Facility		$1,454.84	$7,920.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.19 / $938.99 / $2,302.52	Professional		$643.19	$938.99	$2,302.52
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 $787.95 / $1,367.39 / $2,010.53	Professional		$787.95	$1,367.39	$2,010.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.48 / $1,591.95 / $1,909.89	Professional		$1,342.48	$1,591.95	$1,909.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $914.28 / $1,300.76 / $1,650.70	Facility		$914.28	$1,300.76	$1,650.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.52 / $1,224.50 / $1,887.33	Professional		$1,048.52	$1,224.50	$1,887.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $939.82 / $1,307.83 / $1,457.92	Facility		$939.82	$1,307.83	$1,457.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.99 / $1,407.98 / $5,217.00	Facility		$938.99	$1,407.98	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,180.48 / $1,451.63 / $2,010.20	Professional		$1,180.48	$1,451.63	$2,010.20
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 $1,272.01 / $1,698.37 / $2,282.62	Professional		$1,272.01	$1,698.37	$2,282.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.95 / $1,411.30 / $2,129.84	Professional		$965.95	$1,411.30	$2,129.84