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 $554.33 / $870.67 / $2,134.55	Professional		$554.33	$870.67	$2,134.55
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 $732.89 / $1,249.64 / $2,030.99	Professional		$732.89	$1,249.64	$2,030.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.82 / $1,448.71 / $1,738.04	Professional		$1,236.82	$1,448.71	$1,738.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.81 / $1,146.04 / $1,636.25	Facility		$781.81	$1,146.04	$1,636.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $983.28 / $1,170.05 / $1,805.22	Professional		$983.28	$1,170.05	$1,805.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $881.02 / $1,249.55 / $1,398.96	Facility		$881.02	$1,249.55	$1,398.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.63 / $1,205.90 / $1,787.42	Facility		$828.63	$1,205.90	$1,787.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,105.03 / $1,390.11 / $1,907.34	Professional		$1,105.03	$1,390.11	$1,907.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,274.88 / $1,629.68 / $2,190.31	Professional		$1,274.88	$1,629.68	$2,190.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.34 / $1,344.82 / $2,101.81	Professional		$912.34	$1,344.82	$2,101.81