Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.02 / $7,920.26 / $20,400.00	Facility		$1,827.02	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.77 / $981.63 / $2,959.39	Professional		$629.77	$981.63	$2,959.39
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 $987.91 / $1,748.54 / $2,863.34	Professional		$987.91	$1,748.54	$2,863.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.94 / $2,037.00 / $2,442.25	Professional		$1,737.94	$2,037.00	$2,442.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $976.74 / $1,458.05 / $2,250.13	Facility		$976.74	$1,458.05	$2,250.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.50 / $1,659.11 / $2,568.54	Professional		$1,128.50	$1,659.11	$2,568.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,109.84 / $1,619.76 / $1,957.07	Facility		$1,109.84	$1,619.76	$1,957.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.27 / $1,480.52 / $2,652.61	Facility		$1,015.27	$1,480.52	$2,652.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,363.79 / $1,928.41 / $2,657.88	Professional		$1,363.79	$1,928.41	$2,657.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,900.22 / $3,412.14	Facility		$2,265.38	$2,900.22	$3,412.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,776.82 / $2,279.84 / $3,064.13	Professional		$1,776.82	$2,279.84	$3,064.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.56 / $1,806.41 / $3,045.00	Professional		$1,265.56	$1,806.41	$3,045.00