Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $8,952.00 / $32,689.00	Facility		$1,924.00	$8,952.00	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.73 / $1,128.18 / $1,512.85	Professional		$954.73	$1,128.18	$1,512.85
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 $1,261.86 / $2,044.26 / $3,163.77	Professional		$1,261.86	$2,044.26	$3,163.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,043.63 / $2,380.34 / $2,855.32	Professional		$2,043.63	$2,380.34	$2,855.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.21 / $1,926.00 / $2,505.77	Facility		$1,437.21	$1,926.00	$2,505.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,135.33 / $2,135.33 / $2,135.33	Professional		$2,135.33	$2,135.33	$2,135.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,327.40 / $2,021.99 / $2,212.34	Facility		$1,327.40	$2,021.99	$2,212.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,401.37 / $1,815.42 / $2,505.77	Facility		$1,401.37	$1,815.42	$2,505.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,458.21 / $2,285.75 / $3,247.12	Professional		$1,458.21	$2,285.75	$3,247.12
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 $2,009.92 / $2,577.21 / $3,463.80	Professional		$2,009.92	$2,577.21	$3,463.80
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 $1,454.17 / $2,072.98 / $3,336.56	Professional		$1,454.17	$2,072.98	$3,336.56