Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.31 / $7,920.26 / $20,400.00	Facility		$1,665.31	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.70 / $784.78 / $2,020.39	Professional		$682.70	$784.78	$2,020.39
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 $894.81 / $1,454.34 / $2,227.50	Professional		$894.81	$1,454.34	$2,227.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,418.17 / $1,661.14 / $1,992.89	Professional		$1,418.17	$1,661.14	$1,992.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,001.91 / $1,378.26 / $1,819.00	Facility		$1,001.91	$1,378.26	$1,819.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.30 / $1,330.20 / $2,020.06	Professional		$1,137.30	$1,330.20	$2,020.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,030.53 / $1,425.09 / $1,535.64	Facility		$1,030.53	$1,425.09	$1,535.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,001.91 / $1,496.31 / $5,217.00	Facility		$1,001.91	$1,496.31	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,298.46 / $1,525.66 / $2,095.63	Professional		$1,298.46	$1,525.66	$2,095.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,394.89 / $1,788.91 / $2,404.31	Professional		$1,394.89	$1,788.91	$2,404.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.48 / $1,477.65 / $2,336.89	Professional		$1,018.48	$1,477.65	$2,336.89