Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,042.03 / $7,920.26 / $20,400.00	Facility		$2,042.03	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.57 / $1,437.13 / $3,248.54	Professional		$938.57	$1,437.13	$3,248.54
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 $1,222.38 / $1,970.80 / $3,043.39	Professional		$1,222.38	$1,970.80	$3,043.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,909.56 / $2,236.71 / $2,683.42	Professional		$1,909.56	$2,236.71	$2,683.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.13 / $1,862.48 / $2,490.50	Facility		$1,437.13	$1,862.48	$2,490.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.20 / $1,816.61 / $2,733.62	Professional		$1,657.20	$1,816.61	$2,733.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,417.16 / $1,959.75 / $2,081.69	Facility		$1,417.16	$1,959.75	$2,081.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,437.13 / $2,043.94 / $5,949.00	Facility		$1,437.13	$2,043.94	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,792.03 / $2,082.58 / $2,853.16	Professional		$1,792.03	$2,082.58	$2,853.16
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 $1,896.13 / $2,425.01 / $3,259.24	Professional		$1,896.13	$2,425.01	$3,259.24
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 $1,394.02 / $2,048.89 / $3,198.54	Professional		$1,394.02	$2,048.89	$3,198.54