Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.75 / $7,920.26 / $20,400.00	Facility		$1,580.75	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.88 / $990.59 / $2,276.75	Professional		$646.88	$990.59	$2,276.75
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 $844.62 / $1,379.64 / $2,111.23	Professional		$844.62	$1,379.64	$2,111.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.25 / $1,574.55 / $1,889.01	Professional		$1,344.25	$1,574.55	$1,889.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $985.50 / $1,306.33 / $1,728.90	Facility		$985.50	$1,306.33	$1,728.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,267.88 / $1,914.41	Professional		$1,140.00	$1,267.88	$1,914.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $973.85 / $1,346.70 / $1,456.58	Facility		$973.85	$1,346.70	$1,456.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $1,415.63 / $5,217.00	Facility		$988.38	$1,415.63	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,225.56 / $1,446.77 / $1,989.37	Professional		$1,225.56	$1,446.77	$1,989.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,324.16 / $1,696.81 / $2,280.53	Professional		$1,324.16	$1,696.81	$2,280.53
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 $1,005.76 / $1,439.20 / $2,230.50	Professional		$1,005.76	$1,439.20	$2,230.50