Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,703.17 / $7,920.26 / $20,400.00	Facility		$1,703.17	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.95 / $1,082.61 / $2,449.98	Professional		$717.95	$1,082.61	$2,449.98
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 $981.71 / $1,514.30 / $2,283.06	Professional		$981.71	$1,514.30	$2,283.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,443.72 / $1,691.07 / $2,028.80	Professional		$1,443.72	$1,691.07	$2,028.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.30 / $1,497.80 / $2,025.20	Facility		$1,047.30	$1,497.80	$2,025.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.80 / $1,375.78 / $2,060.23	Professional		$1,237.80	$1,375.78	$2,060.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,073.17 / $1,468.64 / $1,568.47	Facility		$1,073.17	$1,468.64	$1,568.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,589.24 / $5,217.00	Facility		$1,080.00	$1,589.24	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,385.15 / $1,578.28 / $2,144.60	Professional		$1,385.15	$1,578.28	$2,144.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,427.49 / $1,827.15 / $2,455.71	Professional		$1,427.49	$1,827.15	$2,455.71
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 $1,063.50 / $1,556.80 / $2,398.35	Professional		$1,063.50	$1,556.80	$2,398.35