Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,599.30 / $4,962.67 / $15,341.00	Facility		$1,599.30	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.56 / $1,131.73 / $2,493.44	Professional		$728.56	$1,131.73	$2,493.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.25 / $1,541.99 / $2,305.04	Professional		$977.25	$1,541.99	$2,305.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,468.89 / $1,720.54 / $2,064.16	Professional		$1,468.89	$1,720.54	$2,064.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,131.73 / $1,429.10 / $1,983.69	Facility		$1,131.73	$1,429.10	$1,983.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.64 / $1,375.24 / $2,062.85	Professional		$1,256.64	$1,375.24	$2,062.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.65 / $1,535.64 / $1,594.60	Facility		$1,120.65	$1,535.64	$1,594.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.73 / $1,618.37 / $2,919.00	Facility		$1,131.73	$1,618.37	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,413.30 / $1,623.23 / $2,185.69	Professional		$1,413.30	$1,623.23	$2,185.69
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 $1,442.24 / $1,829.49 / $2,458.86	Professional		$1,442.24	$1,829.49	$2,458.86
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 $1,127.83 / $1,604.40 / $2,429.40	Professional		$1,127.83	$1,604.40	$2,429.40