Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.46 / $7,920.26 / $21,735.00	Facility		$1,862.46	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.60 / $1,185.94 / $2,663.85	Professional		$773.60	$1,185.94	$2,663.85
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 $998.55 / $1,627.12 / $2,480.60	Professional		$998.55	$1,627.12	$2,480.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,568.51 / $1,837.23 / $2,204.15	Professional		$1,568.51	$1,837.23	$2,204.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.22 / $1,527.06 / $2,043.40	Facility		$1,155.22	$1,527.06	$2,043.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.13 / $1,488.20 / $2,232.31	Professional		$1,293.13	$1,488.20	$2,232.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,170.07 / $1,618.05 / $1,703.40	Facility		$1,170.07	$1,618.05	$1,703.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,164.40 / $1,660.32 / $5,359.00	Facility		$1,164.40	$1,660.32	$5,359.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,455.24 / $1,711.81 / $2,330.60	Professional		$1,455.24	$1,711.81	$2,330.60
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 $1,554.80 / $1,980.13 / $2,661.31	Professional		$1,554.80	$1,980.13	$2,661.31
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 $1,146.80 / $1,732.41 / $2,631.31	Professional		$1,146.80	$1,732.41	$2,631.31