Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.90 / $7,920.26 / $20,400.00	Facility		$1,514.90	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.94 / $944.63 / $2,178.89	Professional		$615.94	$944.63	$2,178.89
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 $804.39 / $1,322.02 / $2,018.64	Professional		$804.39	$1,322.02	$2,018.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.27 / $1,507.81 / $1,808.95	Professional		$1,287.27	$1,507.81	$1,808.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $913.77 / $1,250.64 / $1,636.25	Facility		$913.77	$1,250.64	$1,636.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.38 / $1,206.00 / $1,834.06	Professional		$1,049.38	$1,206.00	$1,834.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $942.35 / $1,296.53 / $1,393.60	Facility		$942.35	$1,296.53	$1,393.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.12 / $1,351.63 / $5,217.00	Facility		$914.12	$1,351.63	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,175.84 / $1,386.52 / $1,907.14	Professional		$1,175.84	$1,386.52	$1,907.14
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 $1,269.42 / $1,623.44 / $2,181.92	Professional		$1,269.42	$1,623.44	$2,181.92
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 $945.60 / $1,339.61 / $2,124.46	Professional		$945.60	$1,339.61	$2,124.46