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 $757.21 / $1,127.93 / $2,755.78	Professional		$757.21	$1,127.93	$2,755.78
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 $954.76 / $1,636.41 / $2,402.88	Professional		$954.76	$1,636.41	$2,402.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,614.68 / $1,905.16 / $2,285.65	Professional		$1,614.68	$1,905.16	$2,285.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.69 / $1,535.98 / $1,960.95	Facility		$1,100.69	$1,535.98	$1,960.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.35 / $1,477.42 / $2,279.44	Professional		$1,266.35	$1,477.42	$2,279.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.14 / $1,553.73 / $1,752.05	Facility		$1,120.14	$1,553.73	$1,752.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,127.93 / $1,674.41 / $5,217.00	Facility		$1,127.93	$1,674.41	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,421.20 / $1,746.18 / $2,402.88	Professional		$1,421.20	$1,746.18	$2,402.88
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 $1,524.19 / $2,041.01 / $2,743.14	Professional		$1,524.19	$2,041.01	$2,743.14
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 $1,140.32 / $1,660.02 / $2,583.86	Professional		$1,140.32	$1,660.02	$2,583.86