Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.41 / $8,878.56 / $20,400.00	Facility		$1,809.41	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.32 / $1,247.39 / $2,669.50	Professional		$667.32	$1,247.39	$2,669.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.92 / $1,279.25 / $2,141.81	Professional		$772.92	$1,279.25	$2,141.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.83 / $1,706.13 / $1,897.40	Professional		$822.83	$1,706.13	$1,897.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $822.83 / $1,275.39 / $2,146.46	Facility		$822.83	$1,275.39	$2,146.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.24 / $1,332.60 / $2,451.06	Professional		$1,164.24	$1,332.60	$2,451.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $978.39 / $1,474.20 / $1,626.09	Facility		$978.39	$1,474.20	$1,626.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.46 / $1,826.83 / $7,339.00	Facility		$956.46	$1,826.83	$7,339.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,171.26 / $1,555.56 / $2,141.81	Professional		$1,171.26	$1,555.56	$2,141.81
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 $1,482.84 / $1,591.63 / $2,193.53	Professional		$1,482.84	$1,591.63	$2,193.53
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 $947.75 / $1,482.11 / $2,676.21	Professional		$947.75	$1,482.11	$2,676.21