Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $5,649.00 / $15,341.00	Facility		$1,486.00	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $969.67 / $2,423.17	Professional		$612.16	$969.67	$2,423.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $6,366.15	Facility		$1,664.70	$1,664.70	$6,366.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.80 / $1,312.74 / $1,847.37	Professional		$646.80	$1,312.74	$1,847.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.85 / $1,407.76 / $1,767.74	Professional		$1,073.85	$1,407.76	$1,767.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.95 / $1,259.70 / $1,783.37	Facility		$730.95	$1,259.70	$1,783.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,166.83 / $1,966.62	Professional		$976.14	$1,166.83	$1,966.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $919.50 / $1,260.94 / $1,341.34	Facility		$919.50	$1,260.94	$1,341.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $777.15 / $1,340.48 / $1,775.30	Facility		$777.15	$1,340.48	$1,775.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,090.13 / $1,448.90 / $1,848.28	Professional		$1,090.13	$1,448.90	$1,848.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,235.59 / $1,562.56 / $1,974.51	Professional		$1,235.59	$1,562.56	$1,974.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $17,192.00 / $24,231.00	Facility		$2,151.00	$17,192.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.97 / $1,342.73 / $2,081.31	Professional		$941.97	$1,342.73	$2,081.31