Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.01 / $7,920.26 / $20,400.00	Facility		$1,542.01	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.29 / $817.08 / $1,870.79	Professional		$607.29	$817.08	$1,870.79
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 $763.33 / $1,322.90 / $2,054.65	Professional		$763.33	$1,322.90	$2,054.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,312.46 / $1,537.31 / $1,844.33	Professional		$1,312.46	$1,537.31	$1,844.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.88 / $1,182.24 / $1,627.75	Facility		$933.88	$1,182.24	$1,627.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.59 / $1,215.40 / $1,868.10	Professional		$1,050.59	$1,215.40	$1,868.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $889.06 / $1,301.53 / $1,419.06	Facility		$889.06	$1,301.53	$1,419.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $934.13 / $1,357.62 / $2,748.00	Facility		$934.13	$1,357.62	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,159.41 / $1,410.32 / $1,935.19	Professional		$1,159.41	$1,410.32	$1,935.19
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 $1,291.56 / $1,653.10 / $2,221.78	Professional		$1,291.56	$1,653.10	$2,221.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $935.85 / $1,362.73 / $2,161.13	Professional		$935.85	$1,362.73	$2,161.13