Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.01 / $7,920.26 / $20,400.00	Facility		$1,763.01	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.41 / $1,101.76 / $2,536.16	Professional		$715.41	$1,101.76	$2,536.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.48 / $1,539.73 / $2,367.42	Professional		$938.48	$1,539.73	$2,367.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,495.71 / $1,751.96 / $2,101.86	Professional		$1,495.71	$1,751.96	$2,101.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.70 / $1,455.76 / $1,939.70	Facility		$988.70	$1,455.76	$1,939.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.15 / $1,412.40 / $2,135.35	Professional		$1,206.15	$1,412.40	$2,135.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,108.05 / $1,521.57 / $1,623.41	Facility		$1,108.05	$1,521.57	$1,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,045.29 / $1,455.76 / $2,062.01	Facility		$1,045.29	$1,455.76	$2,062.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,368.55 / $1,618.27 / $2,221.46	Professional		$1,368.55	$1,618.27	$2,221.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,477.92 / $1,891.15 / $2,541.73	Professional		$1,477.92	$1,891.15	$2,541.73
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 $1,110.48 / $1,589.71 / $2,484.62	Professional		$1,110.48	$1,589.71	$2,484.62