Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.78 / $1,758.00 / $13,320.00	Facility		$1,078.78	$1,758.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $667.97 / $1,444.18	Professional		$438.29	$667.97	$1,444.18
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 $668.06 / $1,125.25 / $1,756.75	Professional		$668.06	$1,125.25	$1,756.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.23 / $1,242.36 / $1,586.14	Professional		$1,027.23	$1,242.36	$1,586.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $527.91 / $979.58 / $1,480.55	Facility		$527.91	$979.58	$1,480.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $793.11 / $1,043.96 / $1,576.60	Professional		$793.11	$1,043.96	$1,576.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $761.39 / $1,210.66 / $1,315.88	Facility		$761.39	$1,210.66	$1,315.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $527.91 / $998.60 / $1,805.85	Facility		$527.91	$998.60	$1,805.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $900.27 / $1,233.05 / $1,698.86	Professional		$900.27	$1,233.05	$1,698.86
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 $889.95 / $1,273.35 / $1,819.65	Professional		$889.95	$1,273.35	$1,819.65
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 $889.71 / $1,287.25 / $2,004.67	Professional		$889.71	$1,287.25	$2,004.67