Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.47 / $7,920.26 / $20,400.00	Facility		$1,880.47	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.93 / $1,170.60 / $2,992.53	Professional		$773.93	$1,170.60	$2,992.53
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 $1,065.97 / $1,789.05 / $2,795.44	Professional		$1,065.97	$1,789.05	$2,795.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,762.39 / $2,064.33 / $2,476.60	Professional		$1,762.39	$2,064.33	$2,476.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,324.36 / $1,733.97 / $2,258.42	Facility		$1,324.36	$1,733.97	$2,258.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.12 / $1,664.08 / $2,520.50	Professional		$1,398.12	$1,664.08	$2,520.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,192.66 / $1,756.20 / $1,916.87	Facility		$1,192.66	$1,756.20	$1,916.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,324.36 / $1,787.89 / $5,217.00	Facility		$1,324.36	$1,787.89	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,573.09 / $1,913.94 / $2,627.26	Professional		$1,573.09	$1,913.94	$2,627.26
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 $1,747.30 / $2,233.01 / $3,001.19	Professional		$1,747.30	$2,233.01	$3,001.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.47 / $1,880.94 / $2,939.71	Professional		$1,308.47	$1,880.94	$2,939.71