Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.84 / $7,920.26 / $20,400.00	Facility		$1,636.84	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $1,039.94 / $1,985.85	Professional		$666.75	$1,039.94	$1,985.85
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 $942.24 / $1,457.42 / $2,190.46	Professional		$942.24	$1,457.42	$2,190.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,390.55 / $1,628.79 / $1,954.08	Professional		$1,390.55	$1,628.79	$1,954.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.98 / $1,442.63 / $1,982.87	Facility		$1,005.98	$1,442.63	$1,982.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.20 / $1,322.46 / $1,983.39	Professional		$1,186.20	$1,322.46	$1,983.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,029.56 / $1,408.34 / $1,508.17	Facility		$1,029.56	$1,408.34	$1,508.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.98 / $1,535.94 / $2,748.00	Facility		$1,005.98	$1,535.94	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,329.90 / $1,516.40 / $2,060.52	Professional		$1,329.90	$1,516.40	$2,060.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,371.52 / $1,756.91 / $2,361.30	Professional		$1,371.52	$1,756.91	$2,361.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $48,325.07	Facility		$2,912.00	$17,192.00	$48,325.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.36 / $1,492.40 / $2,299.15	Professional		$1,023.36	$1,492.40	$2,299.15