Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.07 / $4,684.68 / $8,728.00	Facility		$1,374.07	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.53 / $956.78 / $2,207.73	Professional		$626.53	$956.78	$2,207.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.35 / $1,329.68 / $2,029.96	Professional		$815.35	$1,329.68	$2,029.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,308.09 / $1,532.20 / $1,838.21	Professional		$1,308.09	$1,532.20	$1,838.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $911.68 / $1,231.20 / $1,637.95	Facility		$911.68	$1,231.20	$1,637.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.35 / $1,212.07 / $1,860.25	Professional		$1,038.35	$1,212.07	$1,860.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,268.91 / $1,411.02	Facility		$891.00	$1,268.91	$1,411.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.68 / $1,351.68 / $2,088.27	Facility		$911.68	$1,351.68	$2,088.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,186.20 / $1,404.50 / $1,928.39	Professional		$1,186.20	$1,404.50	$1,928.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,283.56 / $1,643.73 / $2,209.19	Professional		$1,283.56	$1,643.73	$2,209.19
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.60 / $1,387.41 / $2,137.40	Professional		$957.60	$1,387.41	$2,137.40