Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,257.92 / $7,920.26 / $20,400.00	Facility		$2,257.92	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.19 / $1,424.84 / $3,217.39	Professional		$937.19	$1,424.84	$3,217.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.40 / $1,973.69 / $2,974.72	Professional		$1,223.40	$1,973.69	$2,974.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,895.54 / $2,220.29 / $2,663.71	Professional		$1,895.54	$2,220.29	$2,663.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,443.75 / $1,845.74 / $2,532.15	Facility		$1,443.75	$1,845.74	$2,532.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.98 / $1,775.83 / $2,663.74	Professional		$1,528.98	$1,775.83	$2,663.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.75 / $1,947.02 / $2,026.75	Facility		$1,445.75	$1,947.02	$2,026.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,443.75 / $2,041.53 / $7,090.00	Facility		$1,443.75	$2,041.53	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,786.14 / $2,075.71 / $2,792.33	Professional		$1,786.14	$2,075.71	$2,792.33
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 $1,858.62 / $2,361.01 / $3,173.23	Professional		$1,858.62	$2,361.01	$3,173.23
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 $1,372.40 / $2,034.20 / $3,148.94	Professional		$1,372.40	$2,034.20	$3,148.94