Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.25 / $4,962.67 / $15,341.00	Facility		$1,626.25	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.47 / $1,068.06 / $2,821.00	Professional		$685.47	$1,068.06	$2,821.00
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 $872.93 / $1,554.05 / $2,258.33	Professional		$872.93	$1,554.05	$2,258.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,537.35 / $1,809.27 / $2,170.60	Professional		$1,537.35	$1,809.27	$2,170.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $999.72 / $1,390.21 / $1,823.02	Facility		$999.72	$1,390.21	$1,823.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.59 / $1,390.08 / $2,173.77	Professional		$1,191.59	$1,390.08	$2,173.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,038.28 / $1,439.83 / $1,666.29	Facility		$1,038.28	$1,439.83	$1,666.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,032.76 / $1,528.64 / $2,919.00	Facility		$1,032.76	$1,528.64	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,309.90 / $1,647.24 / $2,265.73	Professional		$1,309.90	$1,647.24	$2,265.73
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 $1,422.66 / $1,941.10 / $2,608.86	Professional		$1,422.66	$1,941.10	$2,608.86
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 $1,084.50 / $1,553.43 / $2,525.51	Professional		$1,084.50	$1,553.43	$2,525.51