Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.08 / $4,962.67 / $15,341.00	Facility		$1,165.08	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.15 / $698.01 / $1,681.06	Professional		$459.15	$698.01	$1,681.06
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 $588.29 / $1,000.69 / $1,521.70	Professional		$588.29	$1,000.69	$1,521.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.13 / $1,168.03 / $1,401.31	Professional		$996.13	$1,168.03	$1,401.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.11 / $999.15 / $1,402.28	Facility		$740.11	$999.15	$1,402.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $806.40 / $916.98 / $1,411.34	Professional		$806.40	$916.98	$1,411.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $693.32 / $976.86 / $1,072.67	Facility		$693.32	$976.86	$1,072.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.11 / $1,028.38 / $2,919.00	Facility		$740.11	$1,028.38	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.44 / $1,062.16 / $1,463.62	Professional		$880.44	$1,062.16	$1,463.62
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 $968.74 / $1,249.58 / $1,679.45	Professional		$968.74	$1,249.58	$1,679.45
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 $701.71 / $1,020.61 / $1,610.06	Professional		$701.71	$1,020.61	$1,610.06