Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.25 / $4,962.67 / $15,341.00	Facility		$1,323.25	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.41 / $801.54 / $1,919.41	Professional		$527.41	$801.54	$1,919.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.94 / $1,140.64 / $1,804.64	Professional		$692.94	$1,140.64	$1,804.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.72 / $1,327.96 / $1,593.17	Professional		$1,133.72	$1,327.96	$1,593.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $631.35 / $1,056.25 / $1,456.90	Facility		$631.35	$1,056.25	$1,456.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $876.60 / $1,071.56 / $1,653.26	Professional		$876.60	$1,071.56	$1,653.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $809.60 / $1,161.97 / $1,260.27	Facility		$809.60	$1,161.97	$1,260.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.23 / $1,170.83 / $2,919.00	Facility		$708.23	$1,170.83	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,018.64 / $1,241.00 / $1,715.87	Professional		$1,018.64	$1,241.00	$1,715.87
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 $1,142.10 / $1,468.12 / $1,973.17	Professional		$1,142.10	$1,468.12	$1,973.17
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 $800.40 / $1,198.41 / $1,957.29	Professional		$800.40	$1,198.41	$1,957.29