Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,899.60 / $7,920.26 / $20,400.00	Facility		$1,899.60	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.60 / $1,170.39 / $2,731.28	Professional		$759.60	$1,170.39	$2,731.28
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 $994.71 / $1,637.74 / $2,537.19	Professional		$994.71	$1,637.74	$2,537.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,610.11 / $1,885.96 / $2,262.62	Professional		$1,610.11	$1,885.96	$2,262.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,146.56 / $1,522.84 / $2,008.55	Facility		$1,146.56	$1,522.84	$2,008.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.00 / $1,513.20 / $2,296.92	Professional		$1,325.00	$1,513.20	$2,296.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,133.73 / $1,567.80 / $1,748.03	Facility		$1,133.73	$1,567.80	$1,748.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,136.72 / $1,566.74 / $2,220.76	Facility		$1,136.72	$1,566.74	$2,220.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,442.85 / $1,741.07 / $2,391.31	Professional		$1,442.85	$1,741.07	$2,391.31
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 $1,592.31 / $2,036.32 / $2,736.84	Professional		$1,592.31	$2,036.32	$2,736.84
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 $1,138.51 / $1,691.83 / $2,757.70	Professional		$1,138.51	$1,691.83	$2,757.70