Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.16 / $7,920.26 / $20,400.00	Facility		$2,035.16	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.91 / $1,311.10 / $3,258.20	Professional		$883.91	$1,311.10	$3,258.20
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 $1,058.38 / $1,888.22 / $2,797.10	Professional		$1,058.38	$1,888.22	$2,797.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,889.24 / $2,223.25 / $2,667.27	Professional		$1,889.24	$2,223.25	$2,667.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,353.61 / $1,742.36 / $2,293.87	Facility		$1,353.61	$1,742.36	$2,293.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.58 / $1,688.48 / $2,657.09	Professional		$1,472.58	$1,688.48	$2,657.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,255.01 / $1,746.69 / $2,058.91	Facility		$1,255.01	$1,746.69	$2,058.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,353.61 / $1,830.24 / $2,648.95	Facility		$1,353.61	$1,830.24	$2,648.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,639.49 / $2,031.98 / $2,806.27	Professional		$1,639.49	$2,031.98	$2,806.27
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 $1,702.25 / $2,356.31 / $3,223.58	Professional		$1,702.25	$2,356.31	$3,223.58
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 $1,315.20 / $1,863.21 / $3,066.44	Professional		$1,315.20	$1,863.21	$3,066.44