Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $5,116.62 / $20,400.00	Facility		$67.30	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.32 / $1,327.99 / $2,572.62	Professional		$862.32	$1,327.99	$2,572.62
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 $1,122.63 / $1,846.55 / $2,794.41	Professional		$1,122.63	$1,846.55	$2,794.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,790.23 / $2,096.94 / $2,515.73	Professional		$1,790.23	$2,096.94	$2,515.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.81 / $1,743.44 / $2,287.35	Facility		$1,254.81	$1,743.44	$2,287.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.40 / $1,675.67 / $2,557.19	Professional		$1,520.40	$1,675.67	$2,557.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,311.54 / $1,781.60 / $1,948.36	Facility		$1,311.54	$1,781.60	$1,948.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,239.50 / $1,758.96 / $2,479.91	Facility		$1,239.50	$1,758.96	$2,479.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,648.40 / $1,943.28 / $2,670.36	Professional		$1,648.40	$1,943.28	$2,670.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $19,853.95 / $26,041.52	Facility		$9,397.43	$19,853.95	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,777.44 / $2,269.69 / $3,050.49	Professional		$1,777.44	$2,269.69	$3,050.49
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 $1,368.08 / $1,880.20 / $3,046.06	Professional		$1,368.08	$1,880.20	$3,046.06