Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.65 / $4,684.68 / $8,728.00	Facility		$1,085.65	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $735.62 / $1,746.33	Professional		$480.66	$735.62	$1,746.33
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 $622.15 / $1,040.27 / $1,595.78	Professional		$622.15	$1,040.27	$1,595.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,033.98 / $1,211.11 / $1,453.00	Professional		$1,033.98	$1,211.11	$1,453.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $767.82 / $1,036.56 / $1,469.85	Facility		$767.82	$1,036.56	$1,469.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $858.60 / $968.44 / $1,468.99	Professional		$858.60	$968.44	$1,468.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $737.41 / $1,019.74 / $1,116.22	Facility		$737.41	$1,019.74	$1,116.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.82 / $1,061.97 / $1,415.01	Facility		$767.82	$1,061.97	$1,415.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $919.45 / $1,107.41 / $1,523.68	Professional		$919.45	$1,107.41	$1,523.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,245.60 / $9,164.84 / $11,765.12	Facility		$4,245.60	$9,164.84	$11,765.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,014.18 / $1,300.31 / $1,747.63	Professional		$1,014.18	$1,300.31	$1,747.63
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 $734.14 / $1,093.40 / $1,684.46	Professional		$734.14	$1,093.40	$1,684.46