Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.07 / $7,920.26 / $20,400.00	Facility		$1,763.07	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $841.29 / $2,059.58	Professional		$717.27	$841.29	$2,059.58
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 $937.54 / $1,542.99 / $2,328.33	Professional		$937.54	$1,542.99	$2,328.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.82 / $1,733.35 / $2,079.53	Professional		$1,479.82	$1,733.35	$2,079.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,090.68 / $1,439.64 / $2,011.10	Facility		$1,090.68	$1,439.64	$2,011.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.92 / $1,394.23 / $2,103.03	Professional		$1,270.92	$1,394.23	$2,103.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.24 / $1,476.68 / $1,604.65	Facility		$1,102.24	$1,476.68	$1,604.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,090.68 / $1,451.52 / $2,053.42	Facility		$1,090.68	$1,451.52	$2,053.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,387.98 / $1,621.80 / $2,211.13	Professional		$1,387.98	$1,621.80	$2,211.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,629.08 / $16,468.63 / $21,141.18	Facility		$7,629.08	$16,468.63	$21,141.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,471.77 / $1,869.30 / $2,512.36	Professional		$1,471.77	$1,869.30	$2,512.36
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 $1,124.03 / $1,604.79 / $2,376.78	Professional		$1,124.03	$1,604.79	$2,376.78