Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,287.09 / $7,920.26 / $20,400.00	Facility		$2,287.09	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.42 / $1,422.06 / $3,285.58	Professional		$917.42	$1,422.06	$3,285.58
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 $1,207.97 / $1,982.48 / $3,078.37	Professional		$1,207.97	$1,982.48	$3,078.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,932.62 / $2,263.71 / $2,715.82	Professional		$1,932.62	$2,263.71	$2,715.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.14 / $1,860.39 / $2,519.40	Facility		$1,431.14	$1,860.39	$2,519.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,566.72 / $1,817.79 / $2,765.91	Professional		$1,566.72	$1,817.79	$2,765.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,244.68 / $1,757.88 / $2,105.14	Facility		$1,244.68	$1,757.88	$2,105.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,422.06 / $1,884.80 / $2,676.41	Facility		$1,422.06	$1,884.80	$2,676.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,736.46 / $2,101.90 / $2,881.96	Professional		$1,736.46	$2,101.90	$2,881.96
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 $1,918.28 / $2,452.33 / $3,295.96	Professional		$1,918.28	$2,452.33	$3,295.96
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 $1,399.35 / $2,020.29 / $3,231.98	Professional		$1,399.35	$2,020.29	$3,231.98