Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.74 / $7,920.26 / $20,400.00	Facility		$1,628.74	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.10 / $1,027.50 / $1,976.02	Professional		$670.10	$1,027.50	$1,976.02
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 $875.98 / $1,423.61 / $2,179.14	Professional		$875.98	$1,423.61	$2,179.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.46 / $1,620.48 / $1,944.11	Professional		$1,383.46	$1,620.48	$1,944.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $982.98 / $1,345.40 / $1,778.20	Facility		$982.98	$1,345.40	$1,778.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.20 / $1,300.80 / $1,972.92	Professional		$1,180.20	$1,300.80	$1,972.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,019.87 / $1,400.30 / $1,500.13	Facility		$1,019.87	$1,400.30	$1,500.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,027.50 / $1,463.23 / $5,217.00	Facility		$1,027.50	$1,463.23	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,275.01 / $1,491.36 / $2,050.36	Professional		$1,275.01	$1,491.36	$2,050.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,914.95 / $21,418.17 / $26,781.36	Facility		$8,914.95	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,364.75 / $1,747.54 / $2,348.71	Professional		$1,364.75	$1,747.54	$2,348.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.34 / $1,485.40 / $2,288.36	Professional		$997.34	$1,485.40	$2,288.36