Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.12 / $7,920.26 / $20,400.00	Facility		$1,766.12	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.23 / $1,110.34 / $2,539.83	Professional		$724.23	$1,110.34	$2,539.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.02 / $1,541.54 / $2,350.96	Professional		$945.02	$1,541.54	$2,350.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,499.93 / $1,756.90 / $2,107.78	Professional		$1,499.93	$1,756.90	$2,107.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.78 / $1,458.24 / $1,927.80	Facility		$1,093.78	$1,458.24	$1,927.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.00 / $1,416.70 / $2,137.96	Professional		$1,280.00	$1,416.70	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,099.33 / $1,512.19 / $1,624.75	Facility		$1,099.33	$1,512.19	$1,624.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,108.55 / $1,580.14 / $7,090.00	Facility		$1,108.55	$1,580.14	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.52 / $1,616.90 / $2,223.14	Professional		$1,377.52	$1,616.90	$2,223.14
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 $1,479.76 / $1,892.71 / $2,543.83	Professional		$1,479.76	$1,892.71	$2,543.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,830.35	Facility		$2,155.00	$13,246.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.46 / $1,579.90 / $2,477.09	Professional		$1,057.46	$1,579.90	$2,477.09