Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.72 / $7,920.26 / $20,400.00	Facility		$1,811.72	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.30 / $1,074.94 / $2,198.02	Professional		$750.30	$1,074.94	$2,198.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $978.54 / $1,581.26 / $2,435.33	Professional		$978.54	$1,581.26	$2,435.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,534.57 / $1,797.47 / $2,156.46	Professional		$1,534.57	$1,797.47	$2,156.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,092.04 / $1,494.82 / $1,993.25	Facility		$1,092.04	$1,494.82	$1,993.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.40 / $1,456.38 / $2,192.98	Professional		$1,322.40	$1,456.38	$2,192.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,141.97 / $1,565.79 / $1,667.63	Facility		$1,141.97	$1,565.79	$1,667.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,094.26 / $1,635.36 / $5,949.00	Facility		$1,094.26	$1,635.36	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.47 / $1,664.65 / $2,283.62	Professional		$1,434.47	$1,664.65	$2,283.62
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 $1,519.13 / $1,942.66 / $2,610.96	Professional		$1,519.13	$1,942.66	$2,610.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.89 / $1,696.91 / $2,627.82	Professional		$1,191.89	$1,696.91	$2,627.82