Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.66 / $2,747.00 / $15,978.56	Facility		$1,164.66	$2,747.00	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.13 / $845.66 / $2,143.26	Professional		$577.13	$845.66	$2,143.26
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 $798.35 / $1,300.07 / $1,985.72	Professional		$798.35	$1,300.07	$1,985.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,266.53 / $1,483.51 / $1,779.79	Professional		$1,266.53	$1,483.51	$1,779.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $946.88 / $1,231.32 / $1,629.45	Facility		$946.88	$1,231.32	$1,629.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.00 / $1,191.33 / $1,805.22	Professional		$1,074.00	$1,191.33	$1,805.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.82 / $1,279.03 / $1,370.82	Facility		$927.82	$1,279.03	$1,370.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.00 / $1,239.83 / $1,741.94	Facility		$941.00	$1,239.83	$1,741.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,168.48 / $1,364.45 / $1,875.72	Professional		$1,168.48	$1,364.45	$1,875.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,248.51 / $1,596.90 / $2,146.25	Professional		$1,248.51	$1,596.90	$2,146.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $949.13 / $1,336.54 / $2,088.88	Professional		$949.13	$1,336.54	$2,088.88