Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.71 / $5,558.76 / $20,400.00	Facility		$1,820.71	$5,558.76	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.44 / $1,255.05 / $2,885.93	Professional		$825.44	$1,255.05	$2,885.93
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 $1,078.45 / $1,761.06 / $2,703.31	Professional		$1,078.45	$1,761.06	$2,703.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,702.10 / $1,993.71 / $2,391.88	Professional		$1,702.10	$1,993.71	$2,391.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.63 / $1,657.88 / $2,210.29	Facility		$1,254.63	$1,657.88	$2,210.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.54 / $1,597.28 / $2,424.44	Professional		$1,360.54	$1,597.28	$2,424.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,254.89 / $1,702.35 / $1,841.83	Facility		$1,254.89	$1,702.35	$1,841.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,254.63 / $1,657.88 / $2,350.34	Facility		$1,254.63	$1,657.88	$2,350.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,564.45 / $1,859.90 / $2,530.84	Professional		$1,564.45	$1,859.90	$2,530.84
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 $1,684.57 / $2,145.59 / $2,883.70	Professional		$1,684.57	$2,145.59	$2,883.70
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 $1,328.50 / $1,873.18 / $3,040.29	Professional		$1,328.50	$1,873.18	$3,040.29