Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.25 / $7,920.26 / $20,400.00	Facility		$1,458.25	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.11 / $876.81 / $1,879.58	Professional		$570.11	$876.81	$1,879.58
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 $736.87 / $1,252.33 / $1,941.47	Professional		$736.87	$1,252.33	$1,941.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,244.74 / $1,458.00 / $1,749.18	Professional		$1,244.74	$1,458.00	$1,749.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $1,144.08 / $1,569.95	Facility		$823.20	$1,144.08	$1,569.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $990.93 / $1,158.00 / $1,769.42	Professional		$990.93	$1,158.00	$1,769.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $904.56 / $1,246.86 / $1,343.35	Facility		$904.56	$1,246.86	$1,343.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $852.00 / $1,282.42 / $5,217.00	Facility		$852.00	$1,282.42	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,106.31 / $1,336.32 / $1,834.14	Professional		$1,106.31	$1,336.32	$1,834.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,220.83 / $1,564.90 / $2,103.25	Professional		$1,220.83	$1,564.90	$2,103.25
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 $868.94 / $1,284.52 / $2,037.09	Professional		$868.94	$1,284.52	$2,037.09