Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.47 / $7,920.26 / $20,400.00	Facility		$1,992.47	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.34 / $1,266.41 / $2,864.45	Professional		$823.34	$1,266.41	$2,864.45
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 $1,071.88 / $1,739.19 / $2,667.86	Professional		$1,071.88	$1,739.19	$2,667.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,686.27 / $1,975.17 / $2,369.63	Professional		$1,686.27	$1,975.17	$2,369.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,266.55 / $1,642.38 / $2,150.50	Facility		$1,266.55	$1,642.38	$2,150.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.60 / $1,597.47 / $2,409.59	Professional		$1,374.60	$1,597.47	$2,409.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,247.54 / $1,715.20 / $1,834.46	Facility		$1,247.54	$1,715.20	$1,834.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,266.55 / $1,792.36 / $3,865.00	Facility		$1,266.55	$1,792.36	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,573.53 / $1,829.56 / $2,511.51	Professional		$1,573.53	$1,829.56	$2,511.51
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 $1,670.42 / $2,137.01 / $2,872.16	Professional		$1,670.42	$2,137.01	$2,872.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.50 / $1,796.07 / $2,813.79	Professional		$1,301.50	$1,796.07	$2,813.79