Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.68 / $7,920.26 / $20,400.00	Facility		$1,725.68	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.20 / $1,093.08 / $2,481.79	Professional		$711.20	$1,093.08	$2,481.79
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 $930.30 / $1,507.11 / $2,314.94	Professional		$930.30	$1,507.11	$2,314.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,463.68 / $1,714.44 / $2,056.84	Professional		$1,463.68	$1,714.44	$2,056.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,060.90 / $1,424.76 / $1,897.20	Facility		$1,060.90	$1,424.76	$1,897.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.75 / $1,382.60 / $2,089.94	Professional		$1,238.75	$1,382.60	$2,089.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,063.48 / $1,470.65 / $1,588.57	Facility		$1,063.48	$1,470.65	$1,588.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,070.17 / $1,553.49 / $5,217.00	Facility		$1,070.17	$1,553.49	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,356.08 / $1,583.29 / $2,173.44	Professional		$1,356.08	$1,583.29	$2,173.44
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 $1,446.55 / $1,850.57 / $2,487.17	Professional		$1,446.55	$1,850.57	$2,487.17
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 $1,119.45 / $1,555.95 / $2,436.67	Professional		$1,119.45	$1,555.95	$2,436.67