Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,074.00 / $20,400.00	Facility		$1,758.00	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.41 / $1,311.08 / $3,446.29	Professional		$870.41	$1,311.08	$3,446.29
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 $1,068.92 / $1,871.85 / $2,767.66	Professional		$1,068.92	$1,871.85	$2,767.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,838.10 / $2,161.90 / $2,593.67	Professional		$1,838.10	$2,161.90	$2,593.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.22 / $1,689.05 / $2,247.40	Facility		$1,261.22	$1,689.05	$2,247.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.43 / $1,684.60 / $2,599.10	Professional		$1,424.43	$1,684.60	$2,599.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,276.17 / $1,764.78 / $1,997.27	Facility		$1,276.17	$1,764.78	$1,997.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,311.08 / $1,928.33 / $5,217.00	Facility		$1,311.08	$1,928.33	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,603.80 / $1,997.38 / $2,743.60	Professional		$1,603.80	$1,997.38	$2,743.60
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 $1,761.95 / $2,326.67 / $3,127.07	Professional		$1,761.95	$2,326.67	$3,127.07
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 $1,299.91 / $1,873.40 / $2,971.00	Professional		$1,299.91	$1,873.40	$2,971.00