Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,911.75 / $7,920.26 / $20,400.00	Facility		$1,911.75	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.88 / $1,312.98 / $2,733.09	Professional		$642.88	$1,312.98	$2,733.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.52 / $1,267.34 / $2,273.84	Professional		$808.52	$1,267.34	$2,273.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.50 / $1,780.72 / $1,995.80	Professional		$865.50	$1,780.72	$1,995.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $865.50 / $1,341.53 / $2,047.43	Facility		$865.50	$1,341.53	$2,047.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.33 / $1,344.44 / $2,591.34	Professional		$1,121.33	$1,344.44	$2,591.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $998.95 / $1,444.95 / $1,711.18	Facility		$998.95	$1,444.95	$1,711.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.88 / $1,851.96 / $6,437.00	Facility		$976.88	$1,851.96	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.35 / $1,635.08 / $2,268.61	Professional		$1,148.35	$1,635.08	$2,268.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,567.71 / $1,674.91 / $2,319.08	Professional		$1,567.71	$1,674.91	$2,319.08
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 $930.59 / $1,432.76 / $2,226.57	Professional		$930.59	$1,432.76	$2,226.57