Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,686.52 / $4,375.52 / $20,400.00	Facility		$1,686.52	$4,375.52	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.01 / $1,883.33 / $4,385.82	Professional		$772.01	$1,883.33	$4,385.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.35 / $2,481.17 / $4,850.42	Professional		$1,272.35	$2,481.17	$4,850.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,609.81 / $2,040.13 / $4,340.77	Professional		$1,609.81	$2,040.13	$4,340.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.14 / $2,348.10 / $5,219.78	Facility		$1,092.14	$2,348.10	$5,219.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.09 / $2,541.94 / $4,236.58	Professional		$1,302.09	$2,541.94	$4,236.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,506.00 / $3,445.53 / $4,368.39	Facility		$1,506.00	$3,445.53	$4,368.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,092.14 / $2,814.78 / $6,051.78	Facility		$1,092.14	$2,814.78	$6,051.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,443.20 / $2,712.06 / $4,762.12	Professional		$1,443.20	$2,712.06	$4,762.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,459.89 / $2,428.63 / $5,280.00	Professional		$1,459.89	$2,428.63	$5,280.00
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 $2,712.95 / $4,164.30 / $5,787.63	Professional		$2,712.95	$4,164.30	$5,787.63