Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.51 / $1,003.17 / $1,968.81	Professional		$643.51	$1,003.17	$1,968.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.27 / $1,428.27 / $2,193.55	Professional		$882.27	$1,428.27	$2,193.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,397.15 / $1,636.51 / $1,963.35	Professional		$1,397.15	$1,636.51	$1,963.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $953.01 / $1,362.14 / $1,804.55	Facility		$953.01	$1,362.14	$1,804.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.20 / $1,320.60 / $1,988.63	Professional		$1,138.20	$1,320.60	$1,988.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.74 / $1,420.40 / $1,508.17	Facility		$1,039.74	$1,420.40	$1,508.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.36 / $1,450.02 / $2,919.00	Facility		$991.36	$1,450.02	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,295.93 / $1,513.72 / $2,057.61	Professional		$1,295.93	$1,513.72	$2,057.61
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 $1,356.14 / $1,756.91 / $2,350.09	Professional		$1,356.14	$1,756.91	$2,350.09
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 $1,068.48 / $1,507.30 / $2,305.63	Professional		$1,068.48	$1,507.30	$2,305.63