Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.39 / $5,649.00 / $15,341.00	Facility		$1,934.39	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.12 / $1,328.62 / $2,766.33	Professional		$653.12	$1,328.62	$2,766.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $604.00	Facility		$604.00	$604.00	$604.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.52 / $1,285.42 / $2,300.79	Professional		$818.52	$1,285.42	$2,300.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.54 / $1,801.95 / $2,018.95	Professional		$875.54	$1,801.95	$2,018.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $875.54 / $1,357.09 / $2,077.05	Facility		$875.54	$1,357.09	$2,077.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.14 / $1,360.44 / $2,621.85	Professional		$1,141.14	$1,360.44	$2,621.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.45 / $1,461.48 / $1,731.95	Facility		$963.45	$1,461.48	$1,731.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $997.32 / $1,874.26 / $4,681.00	Facility		$997.32	$1,874.26	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,161.49 / $1,653.78 / $2,295.31	Professional		$1,161.49	$1,653.78	$2,295.31
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 $1,586.16 / $1,695.24 / $2,346.37	Professional		$1,586.16	$1,695.24	$2,346.37
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 $944.55 / $1,455.87 / $2,253.60	Professional		$944.55	$1,455.87	$2,253.60