Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.53 / $7,920.26 / $32,689.00	Facility		$1,492.53	$7,920.26	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.62 / $1,005.16 / $2,757.48	Professional		$662.62	$1,005.16	$2,757.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $5,022.74	Facility		$2,059.63	$2,059.63	$5,022.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.05 / $1,456.64 / $2,276.69	Professional		$794.05	$1,456.64	$2,276.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.55 / $1,634.54 / $2,083.69	Professional		$1,277.55	$1,634.54	$2,083.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $853.49 / $1,377.07 / $2,161.09	Facility		$853.49	$1,377.07	$2,161.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.44 / $1,380.72 / $2,153.75	Professional		$1,083.44	$1,380.72	$2,153.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $978.18 / $1,592.80 / $1,744.01	Facility		$978.18	$1,592.80	$1,744.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.51 / $1,477.95 / $2,303.82	Facility		$873.51	$1,477.95	$2,303.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,232.58 / $1,674.42 / $2,255.92	Professional		$1,232.58	$1,674.42	$2,255.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $18,246.18 / $21,922.68	Facility		$13,493.64	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,273.85 / $1,680.65 / $2,339.54	Professional		$1,273.85	$1,680.65	$2,339.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,213.80 / $1,702.04 / $2,736.18	Professional		$1,213.80	$1,702.04	$2,736.18