Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.24 / $5,116.62 / $20,400.00	Facility		$1,618.24	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.91 / $1,146.51 / $2,594.23	Professional		$746.91	$1,146.51	$2,594.23
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 $968.14 / $1,574.05 / $2,409.61	Professional		$968.14	$1,574.05	$2,409.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,528.77 / $1,790.68 / $2,148.30	Professional		$1,528.77	$1,790.68	$2,148.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.10 / $1,488.62 / $1,960.95	Facility		$1,144.10	$1,488.62	$1,960.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.80 / $1,447.50 / $2,183.38	Professional		$1,252.80	$1,447.50	$2,183.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,133.25 / $1,558.42 / $1,660.93	Facility		$1,133.25	$1,558.42	$1,660.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.51 / $1,628.07 / $3,865.00	Facility		$1,146.51	$1,628.07	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,421.82 / $1,656.81 / $2,272.32	Professional		$1,421.82	$1,656.81	$2,272.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,511.13 / $1,934.86 / $2,600.46	Professional		$1,511.13	$1,934.86	$2,600.46
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 $1,126.55 / $1,680.45 / $2,531.00	Professional		$1,126.55	$1,680.45	$2,531.00