Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.98 / $4,684.68 / $8,728.00	Facility		$1,360.98	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.90 / $852.87 / $2,176.23	Professional		$581.90	$852.87	$2,176.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.42 / $1,293.11 / $1,884.76	Professional		$715.42	$1,293.11	$1,884.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.66 / $1,508.29 / $1,809.52	Professional		$1,270.66	$1,508.29	$1,809.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $830.44 / $1,194.72 / $1,522.74	Facility		$830.44	$1,194.72	$1,522.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $993.69 / $1,146.38 / $1,788.64	Professional		$993.69	$1,146.38	$1,788.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $838.67 / $1,171.34 / $1,379.53	Facility		$838.67	$1,171.34	$1,379.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $852.87 / $1,274.46 / $2,450.00	Facility		$852.87	$1,274.46	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.97 / $1,362.00 / $1,890.78	Professional		$1,082.97	$1,362.00	$1,890.78
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 $1,163.94 / $1,607.05 / $2,159.89	Professional		$1,163.94	$1,607.05	$2,159.89
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 $887.52 / $1,254.88 / $2,039.97	Professional		$887.52	$1,254.88	$2,039.97