Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.77 / $7,920.26 / $21,735.00	Facility		$2,221.77	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $1,379.87 / $3,170.53	Professional		$905.91	$1,379.87	$3,170.53
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 $1,158.80 / $1,936.18 / $2,972.76	Professional		$1,158.80	$1,936.18	$2,972.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,858.99 / $2,179.21 / $2,612.36	Professional		$1,858.99	$2,179.21	$2,612.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,280.22 / $1,796.40 / $2,449.69	Facility		$1,280.22	$1,796.40	$2,449.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.34 / $1,759.50 / $2,655.88	Professional		$1,496.34	$1,759.50	$2,655.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,404.34 / $1,898.19 / $2,025.41	Facility		$1,404.34	$1,898.19	$2,025.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,280.22 / $1,814.74 / $2,590.60	Facility		$1,280.22	$1,814.74	$2,590.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,714.64 / $2,038.11 / $2,789.43	Professional		$1,714.64	$2,038.11	$2,789.43
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 $1,856.78 / $2,359.44 / $3,171.13	Professional		$1,856.78	$2,359.44	$3,171.13
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 $1,437.17 / $1,994.44 / $3,127.67	Professional		$1,437.17	$1,994.44	$3,127.67