Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.23 / $7,920.26 / $20,400.00	Facility		$1,462.23	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.26 / $1,028.65 / $2,335.44	Professional		$670.26	$1,028.65	$2,335.44
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 $873.38 / $1,418.29 / $2,172.96	Professional		$873.38	$1,418.29	$2,172.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,378.08 / $1,614.18 / $1,936.55	Professional		$1,378.08	$1,614.18	$1,936.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,029.16 / $1,341.06 / $1,777.35	Facility		$1,029.16	$1,341.06	$1,777.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.20 / $1,301.74 / $1,966.79	Professional		$1,177.20	$1,301.74	$1,966.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,021.33 / $1,396.95 / $1,494.77	Facility		$1,021.33	$1,396.95	$1,494.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,028.65 / $1,360.08 / $1,898.12	Facility		$1,028.65	$1,360.08	$1,898.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,277.02 / $1,488.25 / $2,043.89	Professional		$1,277.02	$1,488.25	$2,043.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,360.45 / $1,741.30 / $2,340.32	Professional		$1,360.45	$1,741.30	$2,340.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $994.52 / $1,460.05 / $2,281.91	Professional		$994.52	$1,460.05	$2,281.91