Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.53 / $7,920.26 / $20,400.00	Facility		$1,591.53	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.18 / $1,005.10 / $2,290.21	Professional		$656.18	$1,005.10	$2,290.21
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 $855.35 / $1,390.61 / $2,127.69	Professional		$855.35	$1,390.61	$2,127.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.86 / $1,583.47 / $1,899.71	Professional		$1,351.86	$1,583.47	$1,899.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,010.90 / $1,314.40 / $1,744.20	Facility		$1,010.90	$1,314.40	$1,744.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.44 / $1,272.46 / $1,926.61	Professional		$1,141.44	$1,272.46	$1,926.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $996.62 / $1,367.47 / $1,465.29	Facility		$996.62	$1,367.47	$1,465.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.90 / $1,430.18 / $5,217.00	Facility		$1,010.90	$1,430.18	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,247.54 / $1,456.38 / $2,003.23	Professional		$1,247.54	$1,456.38	$2,003.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,333.38 / $1,706.95 / $2,294.16	Professional		$1,333.38	$1,706.95	$2,294.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.28 / $1,418.49 / $2,234.46	Professional		$1,015.28	$1,418.49	$2,234.46