Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,601.80 / $9,972.00 / $20,400.00	Facility		$1,601.80	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $1,116.58 / $2,491.76	Professional		$628.04	$1,116.58	$2,491.76
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 $729.04 / $1,214.16 / $1,927.56	Professional		$729.04	$1,214.16	$1,927.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.58 / $1,520.04 / $1,688.94	Professional		$729.58	$1,520.04	$1,688.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $750.05 / $1,130.84 / $2,049.28	Facility		$750.05	$1,130.84	$2,049.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.70 / $1,219.30 / $2,169.44	Professional		$1,051.70	$1,219.30	$2,169.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $935.26 / $1,373.50 / $1,446.53	Facility		$935.26	$1,373.50	$1,446.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.94 / $1,689.51 / $8,343.00	Facility		$803.94	$1,689.51	$8,343.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,109.16 / $1,387.10 / $1,918.22	Professional		$1,109.16	$1,387.10	$1,918.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,312.47 / $1,412.59 / $1,965.95	Professional		$1,312.47	$1,412.59	$1,965.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.44 / $1,312.00 / $1,930.08	Professional		$902.44	$1,312.00	$1,930.08