Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.65 / $7,920.26 / $20,400.00	Facility		$1,762.65	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.93 / $1,242.40 / $2,752.02	Professional		$801.93	$1,242.40	$2,752.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.52 / $1,693.90 / $2,543.02	Professional		$1,058.52	$1,693.90	$2,543.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,623.21 / $1,901.31 / $2,281.02	Professional		$1,623.21	$1,901.31	$2,281.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.36 / $1,576.66 / $2,101.94	Facility		$1,204.36	$1,576.66	$2,101.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.41 / $1,798.41 / $1,798.41	Professional		$1,798.41	$1,798.41	$1,798.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,163.77 / $1,612.65 / $1,737.40	Facility		$1,163.77	$1,612.65	$1,737.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,210.65 / $1,771.20 / $5,217.00	Facility		$1,210.65	$1,771.20	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,538.32 / $1,775.90 / $2,409.81	Professional		$1,538.32	$1,775.90	$2,409.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,589.85 / $2,018.37 / $2,712.71	Professional		$1,589.85	$2,018.37	$2,712.71
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 $1,210.08 / $1,755.08 / $2,718.65	Professional		$1,210.08	$1,755.08	$2,718.65