Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.14 / $7,920.26 / $20,400.00	Facility		$1,713.14	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.44 / $1,090.96 / $2,078.42	Professional		$710.44	$1,090.96	$2,078.42
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 $922.51 / $1,496.33 / $2,294.38	Professional		$922.51	$1,496.33	$2,294.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,457.88 / $1,707.64 / $2,048.67	Professional		$1,457.88	$1,707.64	$2,048.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $995.46 / $1,419.18 / $1,875.10	Facility		$995.46	$1,419.18	$1,875.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.84 / $1,380.98 / $2,079.46	Professional		$1,190.84	$1,380.98	$2,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.50 / $1,480.70 / $1,587.23	Facility		$1,078.50	$1,480.70	$1,587.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,018.54 / $1,565.06 / $5,217.00	Facility		$1,018.54	$1,565.06	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,354.07 / $1,583.29 / $2,173.44	Professional		$1,354.07	$1,583.29	$2,173.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,434.25 / $1,849.00 / $2,485.08	Professional		$1,434.25	$1,849.00	$2,485.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.50 / $1,631.54 / $2,415.94	Professional		$1,128.50	$1,631.54	$2,415.94