Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.52 / $10,180.24 / $42,921.00	Facility		$1,661.52	$10,180.24	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.13 / $1,043.39 / $2,762.77	Professional		$683.13	$1,043.39	$2,762.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,341.30	Facility		$2,341.30	$2,341.30	$2,341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.31 / $1,446.11 / $2,126.69	Professional		$769.31	$1,446.11	$2,126.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,211.90 / $1,591.33 / $1,954.28	Professional		$1,211.90	$1,591.33	$1,954.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.63 / $1,366.14 / $2,091.86	Facility		$831.63	$1,366.14	$2,091.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,155.66 / $1,353.71 / $2,270.16	Professional		$1,155.66	$1,353.71	$2,270.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,073.17 / $1,455.91 / $1,548.37	Facility		$1,073.17	$1,455.91	$1,548.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.57 / $1,535.92 / $2,091.86	Facility		$898.57	$1,535.92	$2,091.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,270.40 / $1,660.25 / $2,170.38	Professional		$1,270.40	$1,660.25	$2,170.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $21,600.03	Facility		$13,624.30	$18,659.50	$21,600.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,411.49 / $1,803.74 / $2,281.44	Professional		$1,411.49	$1,803.74	$2,281.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.50 / $1,633.01 / $2,377.62	Professional		$1,106.50	$1,633.01	$2,377.62