Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.98 / $6,342.29 / $13,746.00	Facility		$1,401.98	$6,342.29	$13,746.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $651.75 / $2,522.00	Professional		$535.26	$651.75	$2,522.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.63 / $1,209.43 / $1,851.96	Professional		$732.63	$1,209.43	$1,851.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,201.25 / $1,408.05 / $1,689.26	Professional		$1,201.25	$1,408.05	$1,689.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $844.73 / $1,144.08 / $1,538.50	Facility		$844.73	$1,144.08	$1,538.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $953.70 / $1,114.76 / $1,694.30	Professional		$953.70	$1,114.76	$1,694.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.65 / $1,188.13 / $1,283.72	Facility		$870.65	$1,188.13	$1,283.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.15 / $1,255.10 / $5,949.00	Facility		$851.15	$1,255.10	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,077.09 / $1,283.21 / $1,751.90	Professional		$1,077.09	$1,283.21	$1,751.90
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 $1,166.09 / $1,495.44 / $2,009.88	Professional		$1,166.09	$1,495.44	$2,009.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.46 / $1,260.69 / $1,942.19	Professional		$846.46	$1,260.69	$1,942.19