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 $763.09 / $1,137.13 / $2,773.47	Professional		$763.09	$1,137.13	$2,773.47
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 $962.66 / $1,647.47 / $2,418.84	Professional		$962.66	$1,647.47	$2,418.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.88 / $1,918.03 / $2,301.09	Professional		$1,625.88	$1,918.03	$2,301.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.83 / $1,556.94 / $1,989.85	Facility		$1,108.83	$1,556.94	$1,989.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.58 / $1,488.18 / $2,296.05	Professional		$1,275.58	$1,488.18	$2,296.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,070.26 / $1,534.01 / $1,763.44	Facility		$1,070.26	$1,534.01	$1,763.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.13 / $1,687.81 / $5,217.00	Facility		$1,137.13	$1,687.81	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,432.76 / $1,752.36 / $2,416.96	Professional		$1,432.76	$1,752.36	$2,416.96
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 $1,534.67 / $2,054.28 / $2,760.97	Professional		$1,534.67	$2,054.28	$2,760.97
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 $1,162.55 / $1,664.97 / $2,729.87	Professional		$1,162.55	$1,664.97	$2,729.87