Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,334.56 / $7,920.26 / $20,400.00	Facility		$2,334.56	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.84 / $1,484.27 / $3,352.06	Professional		$969.84	$1,484.27	$3,352.06
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 $1,263.48 / $2,037.53 / $3,146.28	Professional		$1,263.48	$2,037.53	$3,146.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,970.83 / $2,309.05 / $2,769.51	Professional		$1,970.83	$2,309.05	$2,769.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,466.71 / $1,922.62 / $2,572.94	Facility		$1,466.71	$1,922.62	$2,572.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.20 / $1,875.14 / $2,823.55	Professional		$1,648.20	$1,875.14	$2,823.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,478.21 / $2,026.75 / $2,148.69	Facility		$1,478.21	$2,026.75	$2,148.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,476.47 / $2,111.21 / $3,865.00	Facility		$1,476.47	$2,111.21	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,847.88 / $2,154.01 / $2,945.91	Professional		$1,847.88	$2,154.01	$2,945.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,958.87 / $2,503.06 / $3,364.14	Professional		$1,958.87	$2,503.06	$3,364.14
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 $1,532.01 / $2,175.44 / $3,304.23	Professional		$1,532.01	$2,175.44	$3,304.23