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 $638.12 / $980.74 / $2,280.84	Professional		$638.12	$980.74	$2,280.84
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 $831.30 / $1,373.84 / $2,122.56	Professional		$831.30	$1,373.84	$2,122.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,346.45 / $1,577.13 / $1,892.10	Professional		$1,346.45	$1,577.13	$1,892.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $941.53 / $1,309.44 / $1,739.95	Facility		$941.53	$1,309.44	$1,739.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.25 / $1,274.26 / $1,918.76	Professional		$1,116.25	$1,274.26	$1,918.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $996.66 / $1,364.79 / $1,459.26	Facility		$996.66	$1,364.79	$1,459.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $957.08 / $1,410.86 / $2,509.42	Facility		$957.08	$1,410.86	$2,509.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,221.96 / $1,453.65 / $1,994.92	Professional		$1,221.96	$1,453.65	$1,994.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,327.85 / $1,699.93 / $2,284.71	Professional		$1,327.85	$1,699.93	$2,284.71
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 $1,012.34 / $1,425.90 / $2,227.96	Professional		$1,012.34	$1,425.90	$2,227.96