Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.53 / $4,962.67 / $15,341.00	Facility		$1,282.53	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.28 / $798.87 / $2,048.21	Professional		$545.28	$798.87	$2,048.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.95 / $1,219.39 / $1,775.88	Professional		$658.95	$1,219.39	$1,775.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,195.71 / $1,419.65 / $1,703.17	Professional		$1,195.71	$1,419.65	$1,703.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.87 / $1,107.41 / $1,434.28	Facility		$798.87	$1,107.41	$1,434.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $896.58 / $1,089.96 / $1,682.96	Professional		$896.58	$1,089.96	$1,682.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $789.28 / $1,098.13 / $1,298.46	Facility		$789.28	$1,098.13	$1,298.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $1,198.61 / $2,919.00	Facility		$870.00	$1,198.61	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,281.18 / $1,777.63	Professional		$1,011.91	$1,281.18	$1,777.63
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 $1,097.78 / $1,512.61 / $2,032.96	Professional		$1,097.78	$1,512.61	$2,032.96
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 $841.00 / $1,198.64 / $1,877.50	Professional		$841.00	$1,198.64	$1,877.50