Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.76 / $7,920.26 / $20,400.00	Facility		$1,542.76	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $969.12 / $2,221.23	Professional		$633.66	$969.12	$2,221.23
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 $826.46 / $1,345.27 / $2,056.71	Professional		$826.46	$1,345.27	$2,056.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,313.07 / $1,538.02 / $1,845.19	Professional		$1,313.07	$1,538.02	$1,845.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $932.00 / $1,275.96 / $1,688.10	Facility		$932.00	$1,275.96	$1,688.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.38 / $1,239.07 / $1,868.99	Professional		$1,099.38	$1,239.07	$1,868.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $952.04 / $1,316.55 / $1,420.40	Facility		$952.04	$1,316.55	$1,420.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $955.85 / $1,383.31 / $5,217.00	Facility		$955.85	$1,383.31	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,200.64 / $1,413.16 / $1,941.32	Professional		$1,200.64	$1,413.16	$1,941.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,292.18 / $1,654.66 / $2,223.88	Professional		$1,292.18	$1,654.66	$2,223.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.40 / $1,403.51 / $2,315.73	Professional		$962.40	$1,403.51	$2,315.73