Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.05 / $2,747.00 / $7,920.26	Facility		$1,253.05	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.29 / $833.60 / $1,991.69	Professional		$547.29	$833.60	$1,991.69
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 $737.29 / $1,192.13 / $1,863.28	Professional		$737.29	$1,192.13	$1,863.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.69 / $1,369.75 / $1,638.09	Professional		$1,165.69	$1,369.75	$1,638.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.84 / $1,140.80 / $1,467.95	Facility		$803.84	$1,140.80	$1,467.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $939.35 / $1,095.90 / $1,690.82	Professional		$939.35	$1,095.90	$1,690.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $785.37 / $1,086.07 / $1,289.08	Facility		$785.37	$1,086.07	$1,289.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.15 / $1,144.08 / $1,639.83	Facility		$817.15	$1,144.08	$1,639.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,059.30 / $1,288.99 / $1,765.76	Professional		$1,059.30	$1,288.99	$1,765.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,846.16 / $6,565.08 / $14,391.80	Facility		$4,846.16	$6,565.08	$14,391.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,175.32 / $1,501.68 / $2,018.28	Professional		$1,175.32	$1,501.68	$2,018.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.44 / $1,206.17 / $1,910.36	Professional		$862.44	$1,206.17	$1,910.36