Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,692.99 / $7,920.26 / $20,400.00	Facility		$1,692.99	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.73 / $1,076.81 / $2,437.29	Professional		$713.73	$1,076.81	$2,437.29
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 $973.81 / $1,507.13 / $2,269.67	Professional		$973.81	$1,507.13	$2,269.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,438.01 / $1,684.38 / $2,020.77	Professional		$1,438.01	$1,684.38	$2,020.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.81 / $1,491.88 / $2,040.14	Facility		$1,076.81	$1,491.88	$2,040.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.40 / $1,367.72 / $2,050.65	Professional		$1,229.40	$1,367.72	$2,050.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,059.11 / $1,459.93 / $1,559.76	Facility		$1,059.11	$1,459.93	$1,559.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,076.81 / $1,592.53 / $5,217.00	Facility		$1,076.81	$1,592.53	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,374.10 / $1,568.08 / $2,132.01	Professional		$1,374.10	$1,568.08	$2,132.01
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 $1,418.26 / $1,817.00 / $2,442.07	Professional		$1,418.26	$1,817.00	$2,442.07
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 $1,104.00 / $1,525.30 / $2,389.02	Professional		$1,104.00	$1,525.30	$2,389.02