Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.37 / $2,747.00 / $7,920.26	Facility		$1,919.37	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.13 / $1,294.86 / $3,046.60	Professional		$828.13	$1,294.86	$3,046.60
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 $1,129.00 / $1,824.00 / $2,865.57	Professional		$1,129.00	$1,824.00	$2,865.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,792.96 / $2,100.66 / $2,519.57	Professional		$1,792.96	$2,100.66	$2,519.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,282.72 / $1,746.00 / $2,341.75	Facility		$1,282.72	$1,746.00	$2,341.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,467.78 / $1,664.79 / $2,568.54	Professional		$1,467.78	$1,664.79	$2,568.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,311.24 / $1,827.45 / $1,952.38	Facility		$1,311.24	$1,827.45	$1,952.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,271.50 / $1,747.69 / $2,485.06	Facility		$1,271.50	$1,747.69	$2,485.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,653.76 / $1,954.41 / $2,675.93	Professional		$1,653.76	$1,954.41	$2,675.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,780.51 / $2,274.38 / $3,056.79	Professional		$1,780.51	$2,274.38	$3,056.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $49,245.00	Facility		$3,340.00	$26,100.00	$49,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.20 / $1,897.20 / $3,008.74	Professional		$1,339.20	$1,897.20	$3,008.74