Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.19 / $4,962.67 / $15,341.00	Facility		$1,313.19	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.50 / $826.48 / $2,102.06	Professional		$551.50	$826.48	$2,102.06
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 $713.70 / $1,253.13 / $1,944.56	Professional		$713.70	$1,253.13	$1,944.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,242.03 / $1,454.82 / $1,745.36	Professional		$1,242.03	$1,454.82	$1,745.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $864.84 / $1,187.38 / $1,596.30	Facility		$864.84	$1,187.38	$1,596.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $947.72 / $1,145.71 / $1,767.66	Professional		$947.72	$1,145.71	$1,767.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $859.56 / $1,231.83 / $1,344.02	Facility		$859.56	$1,231.83	$1,344.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.53 / $1,251.23 / $2,919.00	Facility		$873.53	$1,251.23	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,065.07 / $1,335.64 / $1,835.99	Professional		$1,065.07	$1,335.64	$1,835.99
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 $1,222.06 / $1,565.68 / $2,104.29	Professional		$1,222.06	$1,565.68	$2,104.29
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 $883.20 / $1,288.59 / $2,058.54	Professional		$883.20	$1,288.59	$2,058.54