Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.67 / $7,920.26 / $20,400.00	Facility		$1,506.67	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.48 / $887.85 / $1,777.50	Professional		$618.48	$887.85	$1,777.50
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 $807.04 / $1,313.15 / $2,007.32	Professional		$807.04	$1,313.15	$2,007.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,283.35 / $1,503.23 / $1,803.44	Professional		$1,283.35	$1,503.23	$1,803.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $938.29 / $1,246.82 / $1,643.90	Facility		$938.29	$1,246.82	$1,643.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.20 / $1,206.52 / $1,827.06	Professional		$1,084.20	$1,206.52	$1,827.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $931.21 / $1,279.86 / $1,386.90	Facility		$931.21	$1,279.86	$1,386.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.84 / $1,350.48 / $7,090.00	Facility		$954.84	$1,350.48	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,171.83 / $1,379.02 / $1,896.05	Professional		$1,171.83	$1,379.02	$1,896.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,262.04 / $1,615.64 / $2,171.42	Professional		$1,262.04	$1,615.64	$2,171.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.76 / $1,379.68 / $2,110.42	Professional		$963.76	$1,379.68	$2,110.42