Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.89 / $8,878.56 / $20,400.00	Facility		$1,651.89	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $1,152.39 / $2,621.27	Professional		$634.82	$1,152.39	$2,621.27
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 $759.45 / $1,267.58 / $1,987.27	Professional		$759.45	$1,267.58	$1,987.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.18 / $1,567.19 / $1,741.32	Professional		$752.18	$1,567.19	$1,741.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $752.18 / $1,196.46 / $2,014.11	Facility		$752.18	$1,196.46	$2,014.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.09 / $1,257.24 / $2,237.58	Professional		$1,127.09	$1,257.24	$2,237.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,014.30 / $1,397.11 / $1,488.74	Facility		$1,014.30	$1,397.11	$1,488.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.08 / $1,718.82 / $7,339.00	Facility		$883.08	$1,718.82	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,152.56 / $1,429.08 / $1,973.83	Professional		$1,152.56	$1,429.08	$1,973.83
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 $1,353.68 / $1,457.19 / $2,040.75	Professional		$1,353.68	$1,457.19	$2,040.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $968.94 / $1,361.92 / $1,937.14	Professional		$968.94	$1,361.92	$1,937.14