Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.70 / $7,920.26 / $20,400.00	Facility		$1,757.70	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.72 / $1,012.49 / $2,510.32	Professional		$682.72	$1,012.49	$2,510.32
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 $854.46 / $1,489.98 / $2,186.06	Professional		$854.46	$1,489.98	$2,186.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,467.63 / $1,734.67 / $2,081.11	Professional		$1,467.63	$1,734.67	$2,081.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.89 / $1,384.67 / $1,785.00	Facility		$977.89	$1,384.67	$1,785.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.92 / $1,341.57 / $2,069.85	Professional		$1,149.92	$1,341.57	$2,069.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,007.28 / $1,392.93 / $1,594.60	Facility		$1,007.28	$1,392.93	$1,594.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,012.49 / $1,505.69 / $2,748.00	Facility		$1,012.49	$1,505.69	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.68 / $1,589.32 / $2,186.06	Professional		$1,281.68	$1,589.32	$2,186.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,372.88 / $1,857.59 / $2,496.62	Professional		$1,372.88	$1,857.59	$2,496.62
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 $1,053.17 / $1,493.85 / $2,334.73	Professional		$1,053.17	$1,493.85	$2,334.73