Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,104.11 / $7,920.26 / $20,400.00	Facility		$2,104.11	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.39 / $1,481.12 / $3,347.15	Professional		$960.39	$1,481.12	$3,347.15
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 $1,259.67 / $2,030.79 / $3,135.99	Professional		$1,259.67	$2,030.79	$3,135.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,969.24 / $2,306.61 / $2,767.28	Professional		$1,969.24	$2,306.61	$2,767.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,480.73 / $1,920.14 / $2,536.14	Facility		$1,480.73	$1,920.14	$2,536.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,644.00 / $1,868.44 / $2,818.31	Professional		$1,644.00	$1,868.44	$2,818.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,474.82 / $1,998.41 / $2,144.67	Facility		$1,474.82	$1,998.41	$2,144.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,481.12 / $2,044.02 / $5,949.00	Facility		$1,481.12	$2,044.02	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,839.15 / $2,142.38 / $2,939.48	Professional		$1,839.15	$2,142.38	$2,939.48
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 $1,953.33 / $2,498.38 / $3,357.85	Professional		$1,953.33	$2,498.38	$3,357.85
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 $1,519.28 / $2,137.81 / $3,290.34	Professional		$1,519.28	$2,137.81	$3,290.34