Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.89 / $7,920.26 / $20,400.00	Facility		$1,698.89	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.12 / $981.62 / $2,015.55	Professional		$664.12	$981.62	$2,015.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.96 / $1,441.05 / $2,110.03	Professional		$818.96	$1,441.05	$2,110.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,418.07 / $1,677.71 / $2,012.78	Professional		$1,418.07	$1,677.71	$2,012.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $941.16 / $1,330.31 / $1,698.72	Facility		$941.16	$1,330.31	$1,698.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.61 / $1,295.72 / $1,999.11	Professional		$1,110.61	$1,295.72	$1,999.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.40 / $1,342.01 / $1,541.00	Facility		$960.40	$1,342.01	$1,541.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,036.58 / $1,462.56 / $5,949.00	Facility		$1,036.58	$1,462.56	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,237.46 / $1,533.21 / $2,112.09	Professional		$1,237.46	$1,533.21	$2,112.09
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 $1,320.48 / $1,795.15 / $2,412.69	Professional		$1,320.48	$1,795.15	$2,412.69
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 $1,002.95 / $1,460.20 / $2,383.82	Professional		$1,002.95	$1,460.20	$2,383.82