Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.93 / $7,920.26 / $20,400.00	Facility		$1,657.93	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.22 / $1,044.32 / $2,385.35	Professional		$681.22	$1,044.32	$2,385.35
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 $891.28 / $1,449.21 / $2,217.21	Professional		$891.28	$1,449.21	$2,217.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,408.68 / $1,650.01 / $1,979.55	Professional		$1,408.68	$1,650.01	$1,979.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.65 / $1,370.20 / $1,818.15	Facility		$1,045.65	$1,370.20	$1,818.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.59 / $1,333.62 / $2,008.72	Professional		$1,200.59	$1,333.62	$2,008.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,042.16 / $1,412.84 / $1,526.26	Facility		$1,042.16	$1,412.84	$1,526.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,045.65 / $1,491.49 / $5,217.00	Facility		$1,045.65	$1,491.49	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,301.81 / $1,518.61 / $2,087.32	Professional		$1,301.81	$1,518.61	$2,087.32
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 $1,389.36 / $1,777.98 / $2,389.62	Professional		$1,389.36	$1,777.98	$2,389.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.20 / $1,488.90 / $2,380.98	Professional		$1,075.20	$1,488.90	$2,380.98