Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $7,943.28	Facility		$1,122.02	$1,862.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,659.59	Professional		$512.86	$812.83	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,862.09	Professional		$660.69	$1,047.13	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,819.70	Professional		$776.25	$1,148.15	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,819.70	Facility		$602.56	$1,000.00	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,737.80	Professional		$812.83	$1,174.90	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,513.56	Facility		$1,023.29	$1,412.54	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $1,737.80	Facility		$562.34	$954.99	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,737.80	Professional		$79.43	$1,174.90	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,905.46	Professional		$1,047.13	$1,445.44	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,905.46	Professional		$758.58	$1,202.26	$1,905.46