Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.33 / $1,034.57 / $2,557.51	Professional		$703.33	$1,034.57	$2,557.51
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 $869.88 / $1,520.97 / $2,233.92	Professional		$869.88	$1,520.97	$2,233.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,494.70 / $1,770.75 / $2,124.39	Professional		$1,494.70	$1,770.75	$2,124.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.00 / $1,447.70 / $1,826.65	Facility		$1,005.00	$1,447.70	$1,826.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.81 / $1,364.77 / $2,105.65	Professional		$1,169.81	$1,364.77	$2,105.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,011.64 / $1,408.57 / $1,622.74	Facility		$1,011.64	$1,408.57	$1,622.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.57 / $1,543.31 / $5,217.00	Facility		$1,034.57	$1,543.31	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,309.00 / $1,618.40 / $2,224.12	Professional		$1,309.00	$1,618.40	$2,224.12
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 $1,406.94 / $1,890.37 / $2,540.67	Professional		$1,406.94	$1,890.37	$2,540.67
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 $1,062.23 / $1,519.14 / $2,460.71	Professional		$1,062.23	$1,519.14	$2,460.71