Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.09 / $4,962.67 / $15,341.00	Facility		$1,777.09	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.78 / $1,170.03 / $2,386.56	Professional		$815.78	$1,170.03	$2,386.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.33 / $1,715.64 / $2,654.48	Professional		$1,066.33	$1,715.64	$2,654.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.37 / $1,950.69 / $2,340.27	Professional		$1,665.37	$1,950.69	$2,340.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,189.33 / $1,623.16 / $2,166.65	Facility		$1,189.33	$1,623.16	$2,166.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.44 / $1,582.24 / $2,382.51	Professional		$1,425.44	$1,582.24	$2,382.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.34 / $1,688.59 / $1,813.02	Facility		$1,239.34	$1,688.59	$1,813.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,780.14 / $3,065.00	Facility		$1,200.00	$1,780.14	$3,065.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,563.69 / $1,812.98 / $2,483.26	Professional		$1,563.69	$1,812.98	$2,483.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,649.51 / $2,112.03 / $2,838.59	Professional		$1,649.51	$2,112.03	$2,838.59
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 $1,290.99 / $1,781.50 / $2,826.81	Professional		$1,290.99	$1,781.50	$2,826.81