Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,179.25 / $5,649.00 / $15,341.00	Facility		$2,179.25	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.23 / $1,526.46 / $3,413.41	Professional		$833.23	$1,526.46	$3,413.41
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 $995.32 / $1,663.69 / $2,624.63	Professional		$995.32	$1,663.69	$2,624.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.43 / $2,062.92 / $2,292.13	Professional		$993.43	$2,062.92	$2,292.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.43 / $1,543.53 / $2,638.89	Facility		$993.43	$1,543.53	$2,638.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.05 / $1,647.61 / $2,952.24	Professional		$1,454.05	$1,647.61	$2,952.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,289.34 / $1,828.76 / $1,965.78	Facility		$1,289.34	$1,828.76	$1,965.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,164.16 / $2,250.98 / $4,681.00	Facility		$1,164.16	$2,250.98	$4,681.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,510.83 / $1,881.79 / $2,606.55	Professional		$1,510.83	$1,881.79	$2,606.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,786.05 / $1,924.12 / $2,678.49	Professional		$1,786.05	$1,924.12	$2,678.49
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 $1,265.63 / $1,843.37 / $2,629.60	Professional		$1,265.63	$1,843.37	$2,629.60