Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.37 / $8,878.56 / $20,400.00	Facility		$1,938.37	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.04 / $1,359.09 / $3,013.53	Professional		$739.04	$1,359.09	$3,013.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.91 / $1,477.40 / $2,340.81	Professional		$881.91	$1,477.40	$2,340.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $1,836.14 / $2,043.07	Professional		$886.00	$1,836.14	$2,043.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,373.30 / $2,339.92	Facility		$886.00	$1,373.30	$2,339.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.90 / $1,471.77 / $2,625.93	Professional		$1,277.90	$1,471.77	$2,625.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,088.72 / $1,622.02 / $1,750.04	Facility		$1,088.72	$1,622.02	$1,750.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,020.46 / $1,994.22 / $7,339.00	Facility		$1,020.46	$1,994.22	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,341.66 / $1,673.78 / $2,317.54	Professional		$1,341.66	$1,673.78	$2,317.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,678.59 / $12,937.69 / $16,102.64	Facility		$10,678.59	$12,937.69	$16,102.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,588.62 / $1,712.95 / $2,378.32	Professional		$1,588.62	$1,712.95	$2,378.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.55 / $1,611.99 / $2,539.51	Professional		$1,115.55	$1,611.99	$2,539.51