Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.20 / $7,920.26 / $20,400.00	Facility		$1,622.20	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.77 / $985.58 / $2,320.04	Professional		$655.77	$985.58	$2,320.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.20 / $1,425.39 / $2,169.33	Professional		$848.20	$1,425.39	$2,169.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,369.80 / $1,604.48 / $1,924.92	Professional		$1,369.80	$1,604.48	$1,924.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $935.55 / $1,299.59 / $1,678.75	Facility		$935.55	$1,299.59	$1,678.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.10 / $1,274.83 / $1,940.60	Professional		$1,078.10	$1,274.83	$1,940.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $942.84 / $1,314.54 / $1,478.02	Facility		$942.84	$1,314.54	$1,478.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.41 / $1,329.28 / $1,887.82	Facility		$941.41	$1,329.28	$1,887.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,256.61 / $1,503.03 / $2,048.17	Professional		$1,256.61	$1,503.03	$2,048.17
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 $1,353.07 / $1,721.78 / $2,314.09	Professional		$1,353.07	$1,721.78	$2,314.09
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 $1,010.79 / $1,454.70 / $2,293.35	Professional		$1,010.79	$1,454.70	$2,293.35