Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.10 / $4,704.00 / $8,728.00	Facility		$1,393.10	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.60 / $952.20 / $1,955.50	Professional		$549.60	$952.20	$1,955.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $451.00 / $451.00	Facility		$451.00	$451.00	$451.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.79 / $1,116.02 / $1,857.11	Professional		$732.79	$1,116.02	$1,857.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.22 / $1,434.15 / $1,716.91	Professional		$748.22	$1,434.15	$1,716.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $694.20 / $1,163.31 / $1,770.67	Facility		$694.20	$1,163.31	$1,770.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.83 / $1,191.32 / $1,985.06	Professional		$1,028.83	$1,191.32	$1,985.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.98 / $1,344.06 / $1,479.36	Facility		$900.98	$1,344.06	$1,479.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.09 / $1,346.52 / $2,573.00	Facility		$767.09	$1,346.52	$2,573.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,015.84 / $1,374.66 / $1,819.86	Professional		$1,015.84	$1,374.66	$1,819.86
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 $1,142.10 / $1,421.69 / $1,932.48	Professional		$1,142.10	$1,421.69	$1,932.48
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 $883.22 / $1,358.49 / $2,140.15	Professional		$883.22	$1,358.49	$2,140.15