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 $765.47 / $1,200.40 / $2,300.86	Professional		$765.47	$1,200.40	$2,300.86
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 $1,051.23 / $1,659.51 / $2,627.59	Professional		$1,051.23	$1,659.51	$2,627.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,652.05 / $1,935.09 / $2,321.55	Professional		$1,652.05	$1,935.09	$2,321.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $1,600.53 / $2,194.29	Facility		$1,040.51	$1,600.53	$2,194.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.63 / $1,547.61 / $2,387.75	Professional		$1,332.63	$1,547.61	$2,387.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,180.30 / $1,647.53 / $1,790.24	Facility		$1,180.30	$1,647.53	$1,790.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $1,620.16 / $2,246.51	Facility		$1,040.51	$1,620.16	$2,246.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,509.81 / $1,780.24 / $2,419.03	Professional		$1,509.81	$1,780.24	$2,419.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,610.15 / $2,085.50 / $2,790.26	Professional		$1,610.15	$2,085.50	$2,790.26
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 $1,231.84 / $1,734.66 / $2,711.09	Professional		$1,231.84	$1,734.66	$2,711.09