Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.32 / $7,920.26 / $20,400.00	Facility		$1,790.32	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.65 / $1,165.11 / $2,821.74	Professional		$791.65	$1,165.11	$2,821.74
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 $982.22 / $1,688.95 / $2,481.63	Professional		$982.22	$1,688.95	$2,481.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,648.35 / $1,950.84 / $2,340.44	Professional		$1,648.35	$1,950.84	$2,340.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,128.42 / $1,597.12 / $2,045.95	Facility		$1,128.42	$1,597.12	$2,045.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.20 / $1,532.02 / $2,323.13	Professional		$1,297.20	$1,532.02	$2,323.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,140.51 / $1,590.18 / $1,790.91	Facility		$1,140.51	$1,590.18	$1,790.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.11 / $1,738.18 / $5,217.00	Facility		$1,165.11	$1,738.18	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,466.76 / $1,791.48 / $2,476.32	Professional		$1,466.76	$1,791.48	$2,476.32
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 $1,579.86 / $2,086.28 / $2,803.98	Professional		$1,579.86	$2,086.28	$2,803.98
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 $1,200.54 / $1,729.69 / $2,851.26	Professional		$1,200.54	$1,729.69	$2,851.26