Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.74 / $1,196.99 / $2,433.33	Professional		$752.74	$1,196.99	$2,433.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.41 / $1,674.08 / $2,700.78	Professional		$1,036.41	$1,674.08	$2,700.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,753.28 / $2,053.92 / $2,464.11	Professional		$1,753.28	$2,053.92	$2,464.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,024.16 / $1,615.94 / $2,184.57	Facility		$1,024.16	$1,615.94	$2,184.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.46 / $1,652.91 / $2,550.19	Professional		$1,373.46	$1,652.91	$2,550.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,199.91 / $1,673.66 / $1,940.99	Facility		$1,199.91	$1,673.66	$1,940.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,024.16 / $1,639.88 / $2,230.19	Facility		$1,024.16	$1,639.88	$2,230.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,518.72 / $1,786.81 / $2,483.55	Professional		$1,518.72	$1,786.81	$2,483.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,598.46 / $2,102.85 / $2,770.01	Professional		$1,598.46	$2,102.85	$2,770.01
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 $1,234.00 / $1,748.59 / $2,692.57	Professional		$1,234.00	$1,748.59	$2,692.57