Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.43 / $7,920.26 / $21,735.00	Facility		$1,894.43	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.89 / $1,187.14 / $2,695.95	Professional		$776.89	$1,187.14	$2,695.95
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 $1,030.24 / $1,651.37 / $2,493.85	Professional		$1,030.24	$1,651.37	$2,493.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.17 / $1,857.79 / $2,226.16	Professional		$1,584.17	$1,857.79	$2,226.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.74 / $1,568.16 / $2,139.44	Facility		$1,212.74	$1,568.16	$2,139.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.63 / $1,489.36 / $2,234.03	Professional		$1,350.63	$1,489.36	$2,234.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,207.35 / $1,653.56 / $1,710.51	Facility		$1,207.35	$1,653.56	$1,710.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,212.74 / $1,697.84 / $5,359.00	Facility		$1,212.74	$1,697.84	$5,359.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,499.85 / $1,737.98 / $2,350.48	Professional		$1,499.85	$1,737.98	$2,350.48
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 $1,559.10 / $1,979.35 / $2,660.26	Professional		$1,559.10	$1,979.35	$2,660.26
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 $1,204.14 / $1,717.22 / $2,626.26	Professional		$1,204.14	$1,717.22	$2,626.26