Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.19 / $7,920.26 / $20,400.00	Facility		$1,613.19	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.94 / $1,023.80 / $2,316.90	Professional		$675.94	$1,023.80	$2,316.90
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 $823.64 / $1,413.02 / $2,138.85	Professional		$823.64	$1,413.02	$2,138.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,338.32 / $1,592.32 / $1,880.68	Professional		$1,338.32	$1,592.32	$1,880.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.74 / $1,264.77 / $1,871.70	Facility		$727.74	$1,264.77	$1,871.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.77 / $1,274.26 / $1,910.90	Professional		$1,167.77	$1,274.26	$1,910.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.05 / $1,423.75 / $1,487.40	Facility		$1,023.05	$1,423.75	$1,487.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,332.00 / $2,662.00	Facility		$842.00	$1,332.00	$2,662.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,316.40 / $1,503.60 / $2,000.17	Professional		$1,316.40	$1,503.60	$2,000.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,321.09 / $1,697.59 / $2,281.58	Professional		$1,321.09	$1,697.59	$2,281.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.99 / $1,487.49 / $2,225.34	Professional		$1,035.99	$1,487.49	$2,225.34