Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.68 / $9,972.00 / $20,400.00	Facility		$1,890.68	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.96 / $1,317.82 / $2,975.59	Professional		$720.96	$1,317.82	$2,975.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.16 / $1,439.54 / $2,270.56	Professional		$863.16	$1,439.54	$2,270.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.41 / $1,790.80 / $1,989.78	Professional		$859.41	$1,790.80	$1,989.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $859.41 / $1,357.23 / $2,289.01	Facility		$859.41	$1,357.23	$2,289.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.55 / $1,436.10 / $2,560.86	Professional		$1,278.55	$1,436.10	$2,560.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,152.97 / $1,588.32 / $1,704.48	Facility		$1,152.97	$1,588.32	$1,704.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.86 / $1,953.72 / $8,747.00	Facility		$1,008.86	$1,953.72	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,310.58 / $1,632.31 / $2,262.84	Professional		$1,310.58	$1,632.31	$2,262.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,549.26 / $1,668.36 / $2,325.58	Professional		$1,549.26	$1,668.36	$2,325.58
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 $1,108.23 / $1,603.36 / $2,283.13	Professional		$1,108.23	$1,603.36	$2,283.13