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 $800.02 / $1,207.82 / $2,730.56	Professional		$800.02	$1,207.82	$2,730.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.65 / $1,657.63 / $2,557.77	Professional		$1,027.65	$1,657.63	$2,557.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,607.62 / $1,883.04 / $2,259.11	Professional		$1,607.62	$1,883.04	$2,259.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,147.43 / $1,566.12 / $2,110.05	Facility		$1,147.43	$1,566.12	$2,110.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.42 / $1,525.98 / $2,297.81	Professional		$1,357.42	$1,525.98	$2,297.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,169.09 / $1,616.71 / $1,748.70	Facility		$1,169.09	$1,616.71	$1,748.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,183.88 / $1,727.18 / $5,217.00	Facility		$1,183.88	$1,727.18	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,496.11 / $1,758.72 / $2,395.67	Professional		$1,496.11	$1,758.72	$2,395.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,592.93 / $2,037.11 / $2,737.89	Professional		$1,592.93	$2,037.11	$2,737.89
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 $1,219.11 / $1,719.90 / $2,729.87	Professional		$1,219.11	$1,719.90	$2,729.87