Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.32 / $7,920.26 / $20,400.00	Facility		$1,633.32	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $1,029.07 / $1,923.82	Professional		$670.72	$1,029.07	$1,923.82
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 $865.48 / $1,427.61 / $2,185.32	Professional		$865.48	$1,427.61	$2,185.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,386.60 / $1,624.15 / $1,948.52	Professional		$1,386.60	$1,624.15	$1,948.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $991.01 / $1,348.50 / $1,791.80	Facility		$991.01	$1,348.50	$1,791.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.59 / $1,303.85 / $1,977.26	Professional		$1,119.59	$1,303.85	$1,977.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,009.21 / $1,395.61 / $1,504.15	Facility		$1,009.21	$1,395.61	$1,504.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.27 / $1,466.17 / $5,217.00	Facility		$1,005.27	$1,466.17	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,264.16 / $1,496.17 / $2,055.90	Professional		$1,264.16	$1,496.17	$2,055.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,368.45 / $1,752.22 / $2,355.01	Professional		$1,368.45	$1,752.22	$2,355.01
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 $1,070.00 / $1,551.99 / $2,199.51	Professional		$1,070.00	$1,551.99	$2,199.51