Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.08 / $7,920.26 / $20,400.00	Facility		$1,828.08	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.86 / $1,132.16 / $2,628.48	Professional		$748.86	$1,132.16	$2,628.48
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 $925.34 / $1,571.29 / $2,300.55	Professional		$925.34	$1,571.29	$2,300.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.16 / $1,814.57 / $2,176.96	Professional		$1,549.16	$1,814.57	$2,176.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,132.16 / $1,508.46 / $1,948.86	Facility		$1,132.16	$1,508.46	$1,948.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.54 / $1,434.41 / $2,213.08	Professional		$1,283.54	$1,434.41	$2,213.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,072.20 / $1,482.71 / $1,683.04	Facility		$1,072.20	$1,482.71	$1,683.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,132.16 / $1,527.12 / $2,138.39	Facility		$1,132.16	$1,527.12	$2,138.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,407.15 / $1,660.97 / $2,283.64	Professional		$1,407.15	$1,660.97	$2,283.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,501.83 / $1,960.62 / $2,635.09	Professional		$1,501.83	$1,960.62	$2,635.09
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 $1,114.83 / $1,625.89 / $2,557.98	Professional		$1,114.83	$1,625.89	$2,557.98