Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.11 / $7,920.26 / $20,400.00	Facility		$1,736.11	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.45 / $1,104.46 / $2,497.29	Professional		$732.45	$1,104.46	$2,497.29
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 $936.89 / $1,516.06 / $2,331.42	Professional		$936.89	$1,516.06	$2,331.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,472.82 / $1,725.15 / $2,069.69	Professional		$1,472.82	$1,725.15	$2,069.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.46 / $1,434.06 / $1,909.95	Facility		$1,104.46	$1,434.06	$1,909.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.32 / $1,378.88 / $2,103.03	Professional		$1,249.32	$1,378.88	$2,103.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,080.92 / $1,492.05 / $1,598.62	Facility		$1,080.92	$1,492.05	$1,598.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,104.46 / $1,528.30 / $5,217.00	Facility		$1,104.46	$1,528.30	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,372.24 / $1,594.95 / $2,189.44	Professional		$1,372.24	$1,594.95	$2,189.44
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 $1,455.16 / $1,862.27 / $2,502.91	Professional		$1,455.16	$1,862.27	$2,502.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,134.99 / $1,593.93 / $2,451.17	Professional		$1,134.99	$1,593.93	$2,451.17