Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.05 / $7,920.26 / $20,400.00	Facility		$1,956.05	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.01 / $1,245.09 / $2,804.25	Professional		$830.01	$1,245.09	$2,804.25
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 $1,094.82 / $1,726.00 / $2,640.37	Professional		$1,094.82	$1,726.00	$2,640.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,645.40 / $1,931.24 / $2,312.19	Professional		$1,645.40	$1,931.24	$2,312.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.09 / $1,707.03 / $2,319.02	Facility		$1,245.09	$1,707.03	$2,319.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.77 / $1,595.88 / $2,364.17	Professional		$1,444.77	$1,595.88	$2,364.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,245.65 / $1,705.15 / $1,798.95	Facility		$1,245.65	$1,705.15	$1,798.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.09 / $1,755.36 / $2,291.13	Facility		$1,245.09	$1,755.36	$2,291.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,581.29 / $1,815.60 / $2,467.08	Professional		$1,581.29	$1,815.60	$2,467.08
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 $1,642.13 / $2,095.64 / $2,816.57	Professional		$1,642.13	$2,095.64	$2,816.57
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 $1,237.92 / $1,805.30 / $2,766.12	Professional		$1,237.92	$1,805.30	$2,766.12