Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,834.93 / $7,920.26 / $27,191.20	Facility		$1,834.93	$7,920.26	$27,191.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $1,289.31 / $3,540.00	Professional		$787.82	$1,289.31	$3,540.00
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 $1,094.27 / $1,775.56 / $2,723.42	Professional		$1,094.27	$1,775.56	$2,723.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.33 / $2,017.41 / $2,420.31	Professional		$1,722.33	$2,017.41	$2,420.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,235.25 / $1,677.72 / $2,194.52	Facility		$1,235.25	$1,677.72	$2,194.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.40 / $1,630.53 / $2,461.10	Professional		$1,409.40	$1,630.53	$2,461.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,268.60 / $1,735.09 / $1,871.98	Facility		$1,268.60	$1,735.09	$1,871.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,235.25 / $1,702.08 / $2,379.51	Facility		$1,235.25	$1,702.08	$2,379.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,600.63 / $1,867.98 / $2,564.25	Professional		$1,600.63	$1,867.98	$2,564.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,705.48 / $2,180.71 / $2,930.91	Professional		$1,705.48	$2,180.71	$2,930.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.83 / $1,833.33 / $2,865.31	Professional		$1,323.83	$1,833.33	$2,865.31