Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.07 / $7,920.26 / $21,735.00	Facility		$2,144.07	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.78 / $1,363.32 / $3,079.12	Professional		$889.78	$1,363.32	$3,079.12
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 $1,157.18 / $1,869.79 / $2,880.83	Professional		$1,157.18	$1,869.79	$2,880.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,811.22 / $2,121.52 / $2,545.21	Professional		$1,811.22	$2,121.52	$2,545.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,363.32 / $1,765.76 / $2,357.05	Facility		$1,363.32	$1,765.76	$2,357.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,567.80 / $1,720.86 / $2,591.23	Professional		$1,567.80	$1,720.86	$2,591.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,314.93 / $1,818.38 / $1,972.48	Facility		$1,314.93	$1,818.38	$1,972.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,363.32 / $1,935.77 / $8,647.00	Facility		$1,363.32	$1,935.77	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,696.67 / $1,971.81 / $2,703.48	Professional		$1,696.67	$1,971.81	$2,703.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,798.35 / $2,297.79 / $3,088.26	Professional		$1,798.35	$2,297.79	$3,088.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,375.92 / $1,937.53 / $3,028.16	Professional		$1,375.92	$1,937.53	$3,028.16