Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.96 / $4,962.67 / $15,341.00	Facility		$1,256.96	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $759.22 / $1,811.63	Professional		$497.57	$759.22	$1,811.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.84 / $1,079.24 / $1,650.31	Professional		$640.84	$1,079.24	$1,650.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.42 / $1,256.15 / $1,507.03	Professional		$1,072.42	$1,256.15	$1,507.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.92 / $1,039.11 / $1,383.77	Facility		$798.92	$1,039.11	$1,383.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.44 / $992.00 / $1,520.51	Professional		$851.44	$992.00	$1,520.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $737.67 / $1,028.95 / $1,157.08	Facility		$737.67	$1,028.95	$1,157.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $798.92 / $1,116.81 / $2,919.00	Facility		$798.92	$1,116.81	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $944.52 / $1,147.16 / $1,574.52	Professional		$944.52	$1,147.16	$1,574.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,050.61 / $1,347.92 / $1,811.62	Professional		$1,050.61	$1,347.92	$1,811.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.09 / $1,084.06 / $1,744.85	Professional		$753.09	$1,084.06	$1,744.85