Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,805.62 / $7,920.26 / $20,400.00	Facility		$1,805.62	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.20 / $1,272.67 / $2,878.40	Professional		$845.20	$1,272.67	$2,878.40
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 $1,095.57 / $1,778.28 / $2,680.20	Professional		$1,095.57	$1,778.28	$2,680.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,695.54 / $1,986.03 / $2,382.67	Professional		$1,695.54	$1,986.03	$2,382.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,209.04 / $1,741.91 / $2,284.98	Facility		$1,209.04	$1,741.91	$2,284.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.52 / $1,615.10 / $2,421.82	Professional		$1,454.52	$1,615.10	$2,421.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,259.70 / $1,723.24 / $1,843.17	Facility		$1,259.70	$1,723.24	$1,843.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.99 / $1,819.92 / $5,217.00	Facility		$1,221.99	$1,819.92	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,580.61 / $1,841.85 / $2,522.81	Professional		$1,580.61	$1,841.85	$2,522.81
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 $1,677.80 / $2,147.16 / $2,885.80	Professional		$1,677.80	$2,147.16	$2,885.80
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 $1,231.76 / $1,800.39 / $2,820.01	Professional		$1,231.76	$1,800.39	$2,820.01