Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.53 / $4,684.68 / $8,728.00	Facility		$1,101.53	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $738.30 / $1,490.30	Professional		$381.36	$738.30	$1,490.30
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 $605.26 / $1,077.56 / $1,809.86	Professional		$605.26	$1,077.56	$1,809.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.51 / $1,210.84 / $1,441.11	Professional		$1,025.51	$1,210.84	$1,441.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.30 / $1,055.77 / $2,500.35	Facility		$738.30	$1,055.77	$2,500.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $697.23 / $1,020.21 / $1,869.44	Professional		$697.23	$1,020.21	$1,869.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.12 / $1,018.16 / $1,313.76	Facility		$640.12	$1,018.16	$1,313.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.30 / $1,208.26 / $3,202.29	Facility		$738.30	$1,208.26	$3,202.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $802.93 / $1,195.56 / $1,711.52	Professional		$802.93	$1,195.56	$1,711.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,142.31 / $7,227.91	Facility		$4,846.16	$6,142.31	$7,227.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,069.54 / $1,367.44 / $1,837.85	Professional		$1,069.54	$1,367.44	$1,837.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.50 / $1,155.75 / $1,850.13	Professional		$770.50	$1,155.75	$1,850.13