Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.88 / $7,920.26 / $20,400.00	Facility		$2,194.88	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.89 / $1,542.63 / $4,537.49	Professional		$976.89	$1,542.63	$4,537.49
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 $1,309.54 / $2,128.12 / $3,258.43	Professional		$1,309.54	$2,128.12	$3,258.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,067.73 / $2,421.98 / $2,905.68	Professional		$2,067.73	$2,421.98	$2,905.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.02 / $2,011.90 / $2,661.35	Facility		$1,462.02	$2,011.90	$2,661.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.09 / $1,955.86 / $2,950.18	Professional		$1,662.09	$1,955.86	$2,950.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,530.05 / $2,097.10 / $2,243.83	Facility		$1,530.05	$2,097.10	$2,243.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,447.57 / $2,012.40 / $2,848.03	Facility		$1,447.57	$2,012.40	$2,848.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,914.86 / $2,233.62 / $3,066.76	Professional		$1,914.86	$2,233.62	$3,066.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.28 / $2,613.89 / $3,513.10	Professional		$2,041.28	$2,613.89	$3,513.10
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 $1,556.73 / $2,192.14 / $3,438.49	Professional		$1,556.73	$2,192.14	$3,438.49