Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,160.21 / $7,920.26 / $20,400.00	Facility		$2,160.21	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $1,484.61 / $3,088.03	Professional		$745.62	$1,484.61	$3,088.03
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 $915.04 / $1,462.92 / $2,563.86	Professional		$915.04	$1,462.92	$2,563.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.47 / $2,017.24 / $2,256.30	Professional		$978.47	$2,017.24	$2,256.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $978.47 / $1,516.63 / $2,370.46	Facility		$978.47	$1,516.63	$2,370.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $1,523.76 / $2,927.85	Professional		$1,320.00	$1,523.76	$2,927.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,158.44 / $1,629.63 / $1,933.62	Facility		$1,158.44	$1,629.63	$1,933.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,141.08 / $2,093.28 / $6,437.00	Facility		$1,141.08	$2,093.28	$6,437.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,317.60 / $1,844.06 / $2,563.19	Professional		$1,317.60	$1,844.06	$2,563.19
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 $1,771.28 / $1,892.64 / $2,620.21	Professional		$1,771.28	$1,892.64	$2,620.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.92 / $1,689.59 / $2,518.90	Professional		$1,218.92	$1,689.59	$2,518.90