Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.33 / $914.41 / $2,228.67	Professional		$763.33	$914.41	$2,228.67
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 $1,027.15 / $1,655.67 / $2,556.73	Professional		$1,027.15	$1,655.67	$2,556.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,605.01 / $1,879.99 / $2,255.44	Professional		$1,605.01	$1,879.99	$2,255.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,146.66 / $1,564.26 / $2,093.55	Facility		$1,146.66	$1,564.26	$2,093.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.80 / $1,530.13 / $2,295.19	Professional		$1,390.80	$1,530.13	$2,295.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.04 / $1,644.85 / $1,748.03	Facility		$1,202.04	$1,644.85	$1,748.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.50 / $1,716.32 / $3,006.00	Facility		$1,162.50	$1,716.32	$3,006.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,506.38 / $1,751.59 / $2,393.80	Professional		$1,506.38	$1,751.59	$2,393.80
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 $1,591.70 / $2,036.32 / $2,736.84	Professional		$1,591.70	$2,036.32	$2,736.84
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 $1,243.50 / $1,716.03 / $2,727.75	Professional		$1,243.50	$1,716.03	$2,727.75