Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,013.49 / $7,920.26 / $20,400.00	Facility		$2,013.49	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.88 / $1,419.29 / $3,210.19	Professional		$942.88	$1,419.29	$3,210.19
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 $1,205.66 / $1,983.44 / $2,981.66	Professional		$1,205.66	$1,983.44	$2,981.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,891.95 / $2,216.09 / $2,658.68	Professional		$1,891.95	$2,216.09	$2,658.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,229.17 / $1,944.43 / $2,409.34	Facility		$1,229.17	$1,944.43	$2,409.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.40 / $1,801.44 / $2,702.16	Professional		$1,619.40	$1,801.44	$2,702.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,402.14 / $1,899.50 / $2,054.89	Facility		$1,402.14	$1,899.50	$2,054.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.33 / $2,029.58 / $5,217.00	Facility		$1,348.33	$2,029.58	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,774.50 / $2,049.08 / $2,813.58	Professional		$1,774.50	$2,049.08	$2,813.58
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 $1,872.76 / $2,393.79 / $3,217.28	Professional		$1,872.76	$2,393.79	$3,217.28
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 $1,428.35 / $2,006.19 / $3,143.53	Professional		$1,428.35	$2,006.19	$3,143.53