Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.98 / $7,920.26 / $20,400.00	Facility		$2,010.98	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.44 / $1,396.94 / $3,152.65	Professional		$943.44	$1,396.94	$3,152.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.50 / $1,941.65 / $3,008.16	Professional		$1,226.50	$1,941.65	$3,008.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.22 / $2,164.07 / $2,563.50	Professional		$1,824.22	$2,164.07	$2,563.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.94 / $1,892.86 / $2,866.59	Facility		$1,396.94	$1,892.86	$2,866.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.52 / $1,841.10 / $2,683.83	Professional		$1,649.52	$1,841.10	$2,683.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,438.97 / $1,947.52 / $2,049.53	Facility		$1,438.97	$1,947.52	$2,049.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,396.94 / $1,945.11 / $2,680.43	Facility		$1,396.94	$1,945.11	$2,680.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,845.74 / $2,096.82 / $2,809.08	Professional		$1,845.74	$2,096.82	$2,809.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,869.08 / $2,387.55 / $3,208.89	Professional		$1,869.08	$2,387.55	$3,208.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.50 / $2,094.39 / $3,148.40	Professional		$1,488.50	$2,094.39	$3,148.40