Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.22 / $898.22 / $2,258.83	Professional		$577.22	$898.22	$2,258.83
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 $816.25 / $1,347.20 / $2,097.86	Professional		$816.25	$1,347.20	$2,097.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,333.15 / $1,561.55 / $1,873.41	Professional		$1,333.15	$1,561.55	$1,873.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $997.28 / $1,276.52 / $1,722.10	Facility		$997.28	$1,276.52	$1,722.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.59 / $1,231.20 / $2,026.20	Professional		$1,086.59	$1,231.20	$2,026.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $965.61 / $1,323.42 / $1,445.19	Facility		$965.61	$1,323.42	$1,445.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $997.28 / $1,346.33 / $2,919.00	Facility		$997.28	$1,346.33	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,168.20 / $1,434.80 / $1,974.59	Professional		$1,168.20	$1,434.80	$1,974.59
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 $1,314.32 / $1,683.54 / $2,262.69	Professional		$1,314.32	$1,683.54	$2,262.69
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 $960.21 / $1,389.24 / $2,203.17	Professional		$960.21	$1,389.24	$2,203.17