Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.49 / $4,962.67 / $15,341.00	Facility		$1,175.49	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.45 / $816.37 / $1,884.96	Professional		$535.45	$816.37	$1,884.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $1,135.56 / $1,736.73	Professional		$695.25	$1,135.56	$1,736.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,114.71 / $1,305.69 / $1,566.45	Professional		$1,114.71	$1,305.69	$1,566.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.49 / $1,100.88 / $1,584.21	Facility		$831.49	$1,100.88	$1,584.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $922.78 / $1,048.42 / $1,704.04	Professional		$922.78	$1,048.42	$1,704.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,103.40 / $1,204.66	Facility		$800.00	$1,103.40	$1,204.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.49 / $1,189.03 / $2,402.00	Facility		$831.49	$1,189.03	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,014.60 / $1,196.32 / $1,643.80	Professional		$1,014.60	$1,196.32	$1,643.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,094.13 / $1,403.34 / $1,886.10	Professional		$1,094.13	$1,403.34	$1,886.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $829.57 / $1,168.18 / $1,825.74	Professional		$829.57	$1,168.18	$1,825.74