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 $628.73 / $945.74 / $2,225.53	Professional		$628.73	$945.74	$2,225.53
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 $819.50 / $1,351.27 / $2,053.62	Professional		$819.50	$1,351.27	$2,053.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,315.71 / $1,541.12 / $1,848.90	Professional		$1,315.71	$1,541.12	$1,848.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $898.45 / $1,275.11 / $1,683.85	Facility		$898.45	$1,275.11	$1,683.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.79 / $1,237.52 / $1,872.48	Professional		$1,097.79	$1,237.52	$1,872.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.76 / $1,328.61 / $1,423.08	Facility		$960.76	$1,328.61	$1,423.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.45 / $1,278.44 / $1,806.30	Facility		$898.45	$1,278.44	$1,806.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,198.54 / $1,413.85 / $1,945.02	Professional		$1,198.54	$1,413.85	$1,945.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,294.64 / $1,657.78 / $2,228.08	Professional		$1,294.64	$1,657.78	$2,228.08
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 $982.45 / $1,403.51 / $2,218.67	Professional		$982.45	$1,403.51	$2,218.67