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 $685.77 / $1,093.96 / $2,283.48	Professional		$685.77	$1,093.96	$2,283.48
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 $918.41 / $1,597.11 / $2,341.87	Professional		$918.41	$1,597.11	$2,341.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,574.85 / $1,859.39 / $2,230.73	Professional		$1,574.85	$1,859.39	$2,230.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,052.88 / $1,476.59 / $1,900.60	Facility		$1,052.88	$1,476.59	$1,900.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.83 / $1,440.64 / $2,222.69	Professional		$1,234.83	$1,440.64	$2,222.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,091.58 / $1,509.51 / $1,707.83	Facility		$1,091.58	$1,509.51	$1,707.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,093.96 / $1,625.56 / $5,217.00	Facility		$1,093.96	$1,625.56	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,372.25 / $1,702.79 / $2,341.87	Professional		$1,372.25	$1,702.79	$2,341.87
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 $1,481.61 / $1,989.49 / $2,673.90	Professional		$1,481.61	$1,989.49	$2,673.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,117.92 / $1,583.73 / $2,511.60	Professional		$1,117.92	$1,583.73	$2,511.60