Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.54 / $7,920.26 / $20,400.00	Facility		$1,323.54	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.84 / $863.40 / $2,149.73	Professional		$557.84	$863.40	$2,149.73
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 $788.08 / $1,262.82 / $1,959.99	Professional		$788.08	$1,262.82	$1,959.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,251.11 / $1,465.46 / $1,758.14	Professional		$1,251.11	$1,465.46	$1,758.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $925.79 / $1,215.82 / $1,609.05	Facility		$925.79	$1,215.82	$1,609.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.60 / $1,158.76 / $1,780.79	Professional		$1,037.60	$1,158.76	$1,780.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.96 / $1,249.08 / $1,354.74	Facility		$912.96	$1,249.08	$1,354.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.08 / $1,215.82 / $1,718.77	Facility		$888.08	$1,215.82	$1,718.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,149.05 / $1,345.93 / $1,850.77	Professional		$1,149.05	$1,345.93	$1,850.77
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 $1,231.90 / $1,578.17 / $2,121.08	Professional		$1,231.90	$1,578.17	$2,121.08
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 $936.87 / $1,319.28 / $2,075.11	Professional		$936.87	$1,319.28	$2,075.11