Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.68 / $7,920.26 / $20,400.00	Facility		$1,472.68	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.60 / $934.71 / $2,118.83	Professional		$608.60	$934.71	$2,118.83
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 $794.19 / $1,285.33 / $1,976.46	Professional		$794.19	$1,285.33	$1,976.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.53 / $1,463.60 / $1,755.90	Professional		$1,249.53	$1,463.60	$1,755.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.97 / $1,217.06 / $1,620.95	Facility		$887.97	$1,217.06	$1,620.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.60 / $1,183.48 / $1,785.13	Professional		$1,014.60	$1,183.48	$1,785.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $841.50 / $1,244.09 / $1,356.75	Facility		$841.50	$1,244.09	$1,356.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $886.59 / $1,227.59 / $1,723.06	Facility		$886.59	$1,227.59	$1,723.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.34 / $1,350.73 / $1,855.39	Professional		$1,130.34	$1,350.73	$1,855.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,234.98 / $1,580.51 / $2,124.23	Professional		$1,234.98	$1,580.51	$2,124.23
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 $942.75 / $1,308.31 / $2,074.83	Professional		$942.75	$1,308.31	$2,074.83