Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.14 / $7,920.26 / $20,400.00	Facility		$1,667.14	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.28 / $1,061.11 / $2,405.26	Professional		$699.28	$1,061.11	$2,405.26
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 $947.18 / $1,489.36 / $2,239.85	Professional		$947.18	$1,489.36	$2,239.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.98 / $1,664.43 / $1,996.84	Professional		$1,420.98	$1,664.43	$1,996.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,008.06 / $1,473.84 / $1,965.44	Facility		$1,008.06	$1,473.84	$1,965.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.59 / $1,349.74 / $2,022.68	Professional		$1,197.59	$1,349.74	$2,022.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,040.22 / $1,424.42 / $1,538.32	Facility		$1,040.22	$1,424.42	$1,538.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.13 / $1,555.26 / $5,217.00	Facility		$1,016.13	$1,555.26	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,338.58 / $1,537.07 / $2,096.21	Professional		$1,338.58	$1,537.07	$2,096.21
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 $1,392.42 / $1,792.03 / $2,408.50	Professional		$1,392.42	$1,792.03	$2,408.50
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 $1,032.20 / $1,511.29 / $2,345.51	Professional		$1,032.20	$1,511.29	$2,345.51