Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.27 / $7,920.26 / $20,400.00	Facility		$1,573.27	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.07 / $988.28 / $2,264.96	Professional		$645.07	$988.28	$2,264.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.72 / $1,374.42 / $2,101.98	Professional		$844.72	$1,374.42	$2,101.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.94 / $1,565.98 / $1,878.73	Professional		$1,336.94	$1,565.98	$1,878.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $995.80 / $1,299.27 / $1,723.80	Facility		$995.80	$1,299.27	$1,723.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,135.80 / $1,260.92 / $1,904.80	Professional		$1,135.80	$1,260.92	$1,904.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $966.58 / $1,336.65 / $1,449.21	Facility		$966.58	$1,336.65	$1,449.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.76 / $1,409.84 / $7,090.00	Facility		$999.76	$1,409.84	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,224.08 / $1,440.60 / $1,980.13	Professional		$1,224.08	$1,440.60	$1,980.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.01 / $1,688.22 / $2,268.98	Professional		$1,318.01	$1,688.22	$2,268.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.56 / $1,392.65 / $2,208.58	Professional		$1,008.56	$1,392.65	$2,208.58