Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,070.42 / $7,920.26 / $20,400.00	Facility		$2,070.42	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.16 / $1,299.43 / $2,973.77	Professional		$859.16	$1,299.43	$2,973.77
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 $1,113.25 / $1,806.32 / $2,775.89	Professional		$1,113.25	$1,806.32	$2,775.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,751.30 / $2,051.34 / $2,461.02	Professional		$1,751.30	$2,051.34	$2,461.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.10 / $1,706.86 / $2,278.00	Facility		$1,250.10	$1,706.86	$2,278.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.62 / $1,660.58 / $2,504.79	Professional		$1,443.62	$1,660.58	$2,504.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,301.36 / $1,752.05 / $1,904.81	Facility		$1,301.36	$1,752.05	$1,904.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,299.43 / $1,826.21 / $3,865.00	Facility		$1,299.43	$1,826.21	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,614.03 / $1,901.59 / $2,610.39	Professional		$1,614.03	$1,901.59	$2,610.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,736.23 / $2,218.96 / $2,982.31	Professional		$1,736.23	$2,218.96	$2,982.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.68 / $1,840.77 / $2,924.64	Professional		$1,333.68	$1,840.77	$2,924.64