Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.04 / $4,962.67 / $15,341.00	Facility		$1,483.04	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.80 / $910.78 / $2,113.52	Professional		$634.80	$910.78	$2,113.52
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 $831.69 / $1,306.90 / $2,000.19	Professional		$831.69	$1,306.90	$2,000.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.69 / $1,454.15 / $1,723.81	Professional		$1,226.69	$1,454.15	$1,723.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $865.24 / $1,265.46 / $1,752.03	Facility		$865.24	$1,265.46	$1,752.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.72 / $1,220.60 / $1,788.64	Professional		$1,092.72	$1,220.60	$1,788.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.80 / $1,262.28 / $1,362.78	Facility		$912.80	$1,262.28	$1,362.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $910.78 / $1,320.48 / $2,402.00	Facility		$910.78	$1,320.48	$2,402.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,214.08 / $1,394.31 / $1,898.84	Professional		$1,214.08	$1,394.31	$1,898.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,249.74 / $1,587.54 / $2,133.67	Professional		$1,249.74	$1,587.54	$2,133.67
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.00 / $1,415.64 / $2,105.16	Professional		$1,004.00	$1,415.64	$2,105.16