Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.00 / $4,962.67 / $15,341.00	Facility		$1,510.00	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $1,037.57 / $2,417.87	Professional		$676.80	$1,037.57	$2,417.87
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 $879.63 / $1,455.75 / $2,242.92	Professional		$879.63	$1,455.75	$2,242.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,429.74 / $1,674.68 / $2,009.14	Professional		$1,429.74	$1,674.68	$2,009.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $773.86 / $1,365.22 / $1,841.10	Facility		$773.86	$1,365.22	$1,841.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.56 / $1,346.02 / $2,035.80	Professional		$1,122.56	$1,346.02	$2,035.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,011.91 / $1,436.48 / $1,546.36	Facility		$1,011.91	$1,436.48	$1,546.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.42 / $1,493.21 / $2,659.20	Facility		$805.42	$1,493.21	$2,659.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,294.04 / $1,536.47 / $2,110.42	Professional		$1,294.04	$1,536.47	$2,110.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,404.73 / $1,801.39 / $2,421.09	Professional		$1,404.73	$1,801.39	$2,421.09
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 $1,027.41 / $1,506.40 / $2,366.21	Professional		$1,027.41	$1,506.40	$2,366.21