Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.10 / $4,962.67 / $15,341.00	Facility		$1,098.10	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.77 / $653.66 / $1,593.75	Professional		$416.77	$653.66	$1,593.75
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 $536.30 / $949.87 / $1,478.48	Professional		$536.30	$949.87	$1,478.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.59 / $1,105.85 / $1,326.72	Professional		$942.59	$1,105.85	$1,326.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $554.41 / $847.43 / $1,184.90	Facility		$554.41	$847.43	$1,184.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.86 / $887.02 / $1,368.55	Professional		$706.86	$887.02	$1,368.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.57 / $939.34 / $1,043.19	Facility		$667.57	$939.34	$1,043.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.82 / $929.38 / $2,919.00	Facility		$611.82	$929.38	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.44 / $1,024.08 / $1,420.19	Professional		$817.44	$1,024.08	$1,420.19
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 $941.24 / $1,215.24 / $1,633.29	Professional		$941.24	$1,215.24	$1,633.29
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 $683.81 / $981.41 / $1,539.96	Professional		$683.81	$981.41	$1,539.96