Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,660.56 / $7,920.26 / $21,735.00	Facility		$1,660.56	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.87 / $976.24 / $2,372.69	Professional		$665.87	$976.24	$2,372.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.17 / $1,482.96 / $2,213.59	Professional		$873.17	$1,482.96	$2,213.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,397.78 / $1,642.33 / $1,970.33	Professional		$1,397.78	$1,642.33	$1,970.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $897.41 / $1,314.34 / $1,652.70	Facility		$897.41	$1,314.34	$1,652.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.20 / $1,284.11 / $1,972.03	Professional		$1,090.20	$1,284.11	$1,972.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $920.55 / $1,294.04 / $1,512.56	Facility		$920.55	$1,294.04	$1,512.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $974.87 / $1,457.61 / $8,647.00	Facility		$974.87	$1,457.61	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,236.90 / $1,545.50 / $2,103.71	Professional		$1,236.90	$1,545.50	$2,103.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,382.59 / $1,756.91 / $2,361.30	Professional		$1,382.59	$1,756.91	$2,361.30
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 $1,024.84 / $1,483.37 / $2,369.38	Professional		$1,024.84	$1,483.37	$2,369.38