Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,980.43 / $7,920.26 / $20,400.00	Facility		$1,980.43	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.80 / $1,330.33 / $2,641.02	Professional		$923.80	$1,330.33	$2,641.02
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 $1,189.59 / $1,950.90 / $2,974.72	Professional		$1,189.59	$1,950.90	$2,974.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,815.12 / $2,144.28 / $2,550.69	Professional		$1,815.12	$2,144.28	$2,550.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,263.81 / $1,882.94 / $2,601.85	Facility		$1,263.81	$1,882.94	$2,601.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.49 / $1,811.64 / $2,656.75	Professional		$1,631.49	$1,811.64	$2,656.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.58 / $1,929.71 / $2,093.08	Facility		$1,513.58	$1,929.71	$2,093.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.33 / $2,026.80 / $5,217.00	Facility		$1,330.33	$2,026.80	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,811.64 / $2,081.92 / $2,795.22	Professional		$1,811.64	$2,081.92	$2,795.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,850.63 / $2,361.01 / $3,173.23	Professional		$1,850.63	$2,361.01	$3,173.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,431.78 / $2,045.41 / $3,117.34	Professional		$1,431.78	$2,045.41	$3,117.34