Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.75 / $4,962.67 / $15,341.00	Facility		$1,490.75	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.61 / $1,051.26 / $2,382.10	Professional		$686.61	$1,051.26	$2,382.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.37 / $1,447.23 / $2,215.15	Professional		$897.37	$1,447.23	$2,215.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,406.81 / $1,647.83 / $1,976.92	Professional		$1,406.81	$1,647.83	$1,976.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $999.40 / $1,368.34 / $1,814.75	Facility		$999.40	$1,368.34	$1,814.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.20 / $1,332.38 / $2,006.10	Professional		$1,198.20	$1,332.38	$2,006.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,040.71 / $1,423.75 / $1,524.25	Facility		$1,040.71	$1,423.75	$1,524.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,051.26 / $1,492.99 / $2,919.00	Facility		$1,051.26	$1,492.99	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,307.24 / $1,517.80 / $2,083.62	Professional		$1,307.24	$1,517.80	$2,083.62
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 $1,386.90 / $1,775.64 / $2,386.48	Professional		$1,386.90	$1,775.64	$2,386.48
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 $1,056.92 / $1,520.68 / $2,326.10	Professional		$1,056.92	$1,520.68	$2,326.10