Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,219.23 / $7,920.26 / $20,400.00	Facility		$2,219.23	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.87 / $1,411.07 / $3,187.62	Professional		$922.87	$1,411.07	$3,187.62
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 $1,199.28 / $1,938.89 / $2,985.78	Professional		$1,199.28	$1,938.89	$2,985.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,876.69 / $2,198.21 / $2,637.23	Professional		$1,876.69	$2,198.21	$2,637.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,411.07 / $1,830.24 / $2,419.94	Facility		$1,411.07	$1,830.24	$2,419.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.86 / $1,782.87 / $2,686.45	Professional		$1,546.86	$1,782.87	$2,686.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,397.30 / $1,922.23 / $2,042.16	Facility		$1,397.30	$1,922.23	$2,042.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,411.07 / $2,006.34 / $3,865.00	Facility		$1,411.07	$2,006.34	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,758.27 / $2,043.88 / $2,798.98	Professional		$1,758.27	$2,043.88	$2,798.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,861.08 / $2,378.96 / $3,197.35	Professional		$1,861.08	$2,378.96	$3,197.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.44 / $2,085.13 / $3,219.37	Professional		$1,455.44	$2,085.13	$3,219.37