Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,117.48 / $3,107.00 / $20,400.00	Facility		$2,117.48	$3,107.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.73 / $1,281.89 / $3,229.60	Professional		$846.73	$1,281.89	$3,229.60
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 $1,274.34 / $2,128.57 / $3,296.25	Professional		$1,274.34	$2,128.57	$3,296.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,964.49 / $2,385.67 / $2,971.23	Professional		$1,964.49	$2,385.67	$2,971.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,321.79 / $1,880.22 / $2,665.96	Facility		$1,321.79	$1,880.22	$2,665.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,518.96 / $1,947.53 / $3,019.50	Professional		$1,518.96	$1,947.53	$3,019.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,390.12 / $2,119.21 / $2,449.52	Facility		$1,390.12	$2,119.21	$2,449.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,328.85 / $1,924.73 / $3,159.52	Facility		$1,328.85	$1,924.73	$3,159.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,683.89 / $2,273.63 / $3,199.66	Professional		$1,683.89	$2,273.63	$3,199.66
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 $1,742.38 / $2,429.25 / $3,437.69	Professional		$1,742.38	$2,429.25	$3,437.69
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 $1,625.26 / $2,351.44 / $3,727.59	Professional		$1,625.26	$2,351.44	$3,727.59