Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.40 / $2,747.00 / $7,920.26	Facility		$1,853.40	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $1,086.33 / $2,943.86	Professional		$709.89	$1,086.33	$2,943.86
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 $1,013.04 / $1,761.46 / $2,768.69	Professional		$1,013.04	$1,761.46	$2,768.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,731.96 / $2,029.03 / $2,433.84	Professional		$1,731.96	$2,029.03	$2,433.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.33 / $1,560.24 / $2,035.85	Facility		$1,086.33	$1,560.24	$2,035.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.11 / $1,608.18 / $2,481.19	Professional		$1,301.11	$1,608.18	$2,481.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,116.29 / $1,548.80 / $1,886.72	Facility		$1,116.29	$1,548.80	$1,886.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,086.33 / $1,564.73 / $2,399.25	Facility		$1,086.33	$1,564.73	$2,399.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,444.92 / $1,881.56 / $2,583.50	Professional		$1,444.92	$1,881.56	$2,583.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,719.62 / $2,197.89 / $2,953.98	Professional		$1,719.62	$2,197.89	$2,953.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,227.97 / $1,777.37 / $2,896.67	Professional		$1,227.97	$1,777.37	$2,896.67