Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.12 / $7,920.26 / $20,400.00	Facility		$1,735.12	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.39 / $1,109.17 / $2,758.04	Professional		$692.39	$1,109.17	$2,758.04
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 $931.82 / $1,637.47 / $2,407.57	Professional		$931.82	$1,637.47	$2,407.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,616.42 / $1,906.39 / $2,287.13	Professional		$1,616.42	$1,906.39	$2,287.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.35 / $1,487.59 / $1,984.75	Facility		$1,076.35	$1,487.59	$1,984.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.80 / $1,479.70 / $2,282.96	Professional		$1,267.80	$1,479.70	$2,282.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,117.74 / $1,545.69 / $1,754.06	Facility		$1,117.74	$1,545.69	$1,754.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,076.35 / $1,566.12 / $2,249.08	Facility		$1,076.35	$1,566.12	$2,249.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,407.31 / $1,749.52 / $2,407.57	Professional		$1,407.31	$1,749.52	$2,407.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,245.60 / $9,164.84 / $11,765.12	Facility		$4,245.60	$9,164.84	$11,765.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,526.15 / $2,043.35 / $2,746.28	Professional		$1,526.15	$2,043.35	$2,746.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.00 / $1,617.84 / $2,588.16	Professional		$1,172.00	$1,617.84	$2,588.16