Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $14,614.14 / $59,252.00	Facility		$5,116.62	$14,614.14	$59,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $666.74 / $1,260.26	Professional		$648.52	$666.74	$1,260.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.08 / $1,999.57 / $2,332.87	Professional		$1,137.08	$1,999.57	$2,332.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,419.54 / $1,846.46 / $2,050.77	Professional		$1,419.54	$1,846.46	$2,050.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $894.44 / $1,323.27 / $1,987.85	Facility		$894.44	$1,323.27	$1,987.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.79 / $1,085.79 / $1,085.79	Professional		$1,085.79	$1,085.79	$1,085.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $545.91 / $849.72 / $894.44	Facility		$545.91	$849.72	$894.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $894.44 / $1,296.94 / $1,987.85	Facility		$894.44	$1,296.94	$1,987.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,220.50 / $1,982.46 / $2,621.67	Professional		$1,220.50	$1,982.46	$2,621.67
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 $1,631.06 / $1,756.89 / $2,412.79	Professional		$1,631.06	$1,756.89	$2,412.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,147.61 / $1,557.83 / $2,335.10	Professional		$1,147.61	$1,557.83	$2,335.10