Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,077.17 / $7,920.26 / $20,400.00	Facility		$2,077.17	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.66 / $1,428.21 / $2,970.69	Professional		$698.66	$1,428.21	$2,970.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.54 / $1,396.86 / $2,468.75	Professional		$879.54	$1,396.86	$2,468.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.96 / $1,938.11 / $2,169.80	Professional		$940.96	$1,938.11	$2,169.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $940.96 / $1,458.49 / $2,202.92	Facility		$940.96	$1,458.49	$2,202.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.16 / $1,463.45 / $2,815.02	Professional		$1,238.16	$1,463.45	$2,815.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,061.57 / $1,559.76 / $1,859.92	Facility		$1,061.57	$1,559.76	$1,859.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,062.20 / $2,013.46 / $6,437.00	Facility		$1,062.20	$2,013.46	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,259.28 / $1,775.69 / $2,465.30	Professional		$1,259.28	$1,775.69	$2,465.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,703.02 / $1,820.50 / $2,519.23	Professional		$1,703.02	$1,820.50	$2,519.23
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 $1,004.52 / $1,572.50 / $2,420.11	Professional		$1,004.52	$1,572.50	$2,420.11