Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.90 / $7,920.26 / $20,400.00	Facility		$1,671.90	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.47 / $987.49 / $1,973.20	Professional		$669.47	$987.49	$1,973.20
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 $899.71 / $1,460.93 / $2,237.79	Professional		$899.71	$1,460.93	$2,237.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.58 / $1,667.48 / $2,000.50	Professional		$1,423.58	$1,667.48	$2,000.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,006.37 / $1,383.84 / $1,831.75	Facility		$1,006.37	$1,383.84	$1,831.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.38 / $1,334.07 / $2,027.94	Professional		$1,141.38	$1,334.07	$2,027.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,041.68 / $1,437.82 / $1,541.00	Facility		$1,041.68	$1,437.82	$1,541.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.37 / $1,503.10 / $2,748.00	Facility		$1,006.37	$1,503.10	$2,748.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,305.83 / $1,531.15 / $2,103.94	Professional		$1,305.83	$1,531.15	$2,103.94
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 $1,400.42 / $1,795.15 / $2,412.69	Professional		$1,400.42	$1,795.15	$2,412.69
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 $1,066.73 / $1,502.13 / $2,347.67	Professional		$1,066.73	$1,502.13	$2,347.67