Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.96 / $7,920.26 / $20,400.00	Facility		$2,131.96	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.15 / $1,499.68 / $3,386.32	Professional		$971.15	$1,499.68	$3,386.32
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 $1,277.11 / $2,058.13 / $3,180.23	Professional		$1,277.11	$2,058.13	$3,180.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,989.38 / $2,331.01 / $2,795.58	Professional		$1,989.38	$2,331.01	$2,795.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,481.28 / $1,941.22 / $2,601.00	Facility		$1,481.28	$1,941.22	$2,601.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.75 / $1,889.40 / $2,849.77	Professional		$1,728.75	$1,889.40	$2,849.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,466.10 / $1,986.61 / $2,170.80	Facility		$1,466.10	$1,986.61	$2,170.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,481.28 / $1,996.56 / $2,758.79	Facility		$1,481.28	$1,996.56	$2,758.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,871.74 / $2,171.19 / $2,976.21	Professional		$1,871.74	$2,171.19	$2,976.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,963.77 / $36,351.94 / $49,621.09	Facility		$7,963.77	$36,351.94	$49,621.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,977.94 / $2,528.82 / $3,398.76	Professional		$1,977.94	$2,528.82	$3,398.76
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 $1,455.58 / $2,167.89 / $3,331.77	Professional		$1,455.58	$2,167.89	$3,331.77