Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,082.66 / $7,920.26 / $20,400.00	Facility		$2,082.66	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.44 / $1,325.29 / $2,991.12	Professional		$866.44	$1,325.29	$2,991.12
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 $1,130.53 / $1,823.38 / $2,813.45	Professional		$1,130.53	$1,823.38	$2,813.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,758.16 / $2,060.11 / $2,470.65	Professional		$1,758.16	$2,060.11	$2,470.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,325.29 / $1,720.17 / $2,293.30	Facility		$1,325.29	$1,720.17	$2,293.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.80 / $1,679.17 / $2,518.75	Professional		$1,534.80	$1,679.17	$2,518.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,323.65 / $1,811.68 / $1,916.87	Facility		$1,323.65	$1,811.68	$1,916.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,325.29 / $1,889.54 / $7,090.00	Facility		$1,325.29	$1,889.54	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,657.10 / $1,928.79 / $2,627.26	Professional		$1,657.10	$1,928.79	$2,627.26
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 $1,747.30 / $2,233.01 / $3,001.19	Professional		$1,747.30	$2,233.01	$3,001.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,287.32 / $1,917.29 / $2,994.43	Professional		$1,287.32	$1,917.29	$2,994.43