Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.99 / $7,920.26 / $20,400.00	Facility		$1,742.99	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.59 / $1,102.07 / $2,114.63	Professional		$717.59	$1,102.07	$2,114.63
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 $939.91 / $1,522.80 / $2,338.62	Professional		$939.91	$1,522.80	$2,338.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.99 / $1,733.55 / $2,079.76	Professional		$1,479.99	$1,733.55	$2,079.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.28 / $1,440.26 / $1,909.95	Facility		$1,066.28	$1,440.26	$1,909.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,400.03 / $2,111.78	Professional		$1,205.82	$1,400.03	$2,111.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,095.45 / $1,504.15 / $1,605.32	Facility		$1,095.45	$1,504.15	$1,605.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.28 / $1,452.24 / $2,037.99	Facility		$1,066.28	$1,452.24	$2,037.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,366.13 / $1,598.38 / $2,194.50	Professional		$1,366.13	$1,598.38	$2,194.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,460.69 / $1,870.08 / $2,513.40	Professional		$1,460.69	$1,870.08	$2,513.40
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 $1,070.19 / $1,571.49 / $2,455.52	Professional		$1,070.19	$1,571.49	$2,455.52