Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.29 / $7,920.26 / $20,400.00	Facility		$1,483.29	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.50 / $941.38 / $2,589.00	Professional		$619.50	$941.38	$2,589.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.60 / $1,319.85 / $1,991.89	Professional		$850.60	$1,319.85	$1,991.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.86 / $1,480.39 / $1,776.05	Professional		$1,263.86	$1,480.39	$1,776.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $920.84 / $1,311.20 / $1,811.06	Facility		$920.84	$1,311.20	$1,811.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.19 / $1,195.80 / $1,792.13	Professional		$1,095.19	$1,195.80	$1,792.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $919.10 / $1,270.99 / $1,358.09	Facility		$919.10	$1,270.99	$1,358.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.38 / $1,408.68 / $5,949.00	Facility		$941.38	$1,408.68	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,203.15 / $1,368.16 / $1,859.09	Professional		$1,203.15	$1,368.16	$1,859.09
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 $1,237.44 / $1,582.07 / $2,126.32	Professional		$1,237.44	$1,582.07	$2,126.32
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 $942.53 / $1,324.11 / $2,069.44	Professional		$942.53	$1,324.11	$2,069.44