Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,860.79 / $7,920.26 / $20,400.00	Facility		$1,860.79	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.17 / $1,156.83 / $2,944.91	Professional		$773.17	$1,156.83	$2,944.91
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 $958.44 / $1,749.20 / $2,588.63	Professional		$958.44	$1,749.20	$2,588.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.98 / $2,033.14 / $2,439.19	Professional		$1,722.98	$2,033.14	$2,439.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,141.85 / $1,596.56 / $2,064.34	Facility		$1,141.85	$1,596.56	$2,064.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.76 / $1,576.49 / $2,432.30	Professional		$1,291.76	$1,576.49	$2,432.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,149.61 / $1,638.82 / $1,872.65	Facility		$1,149.61	$1,638.82	$1,872.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.08 / $1,714.72 / $5,217.00	Facility		$1,165.08	$1,714.72	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,405.80 / $1,866.68 / $2,574.42	Professional		$1,405.80	$1,866.68	$2,574.42
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 $1,647.98 / $2,181.50 / $2,931.96	Professional		$1,647.98	$2,181.50	$2,931.96
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 $1,218.81 / $1,676.35 / $2,781.19	Professional		$1,218.81	$1,676.35	$2,781.19