Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.10 / $7,920.26 / $20,400.00	Facility		$1,889.10	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.39 / $1,233.72 / $2,976.48	Professional		$834.39	$1,233.72	$2,976.48
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 $1,040.20 / $1,789.07 / $2,631.85	Professional		$1,040.20	$1,789.07	$2,631.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,739.19 / $2,055.23 / $2,465.69	Professional		$1,739.19	$2,055.23	$2,465.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,684.54 / $2,178.55	Facility		$1,218.00	$1,684.54	$2,178.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,381.20 / $1,590.07 / $2,453.25	Professional		$1,381.20	$1,590.07	$2,453.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,231.10 / $1,702.47 / $1,890.74	Facility		$1,231.10	$1,702.47	$1,890.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,233.72 / $1,837.18 / $3,251.41	Facility		$1,233.72	$1,837.18	$3,251.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,551.76 / $1,897.20 / $2,614.92	Professional		$1,551.76	$1,897.20	$2,614.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,675.49 / $2,202.57 / $2,960.28	Professional		$1,675.49	$2,202.57	$2,960.28
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 $1,262.24 / $1,780.25 / $2,823.27	Professional		$1,262.24	$1,780.25	$2,823.27