Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.09 / $7,920.26 / $20,400.00	Facility		$2,394.09	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.40 / $1,521.47 / $3,438.26	Professional		$995.40	$1,521.47	$3,438.26
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 $1,302.39 / $2,095.14 / $3,235.32	Professional		$1,302.39	$2,095.14	$3,235.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,019.29 / $2,366.48 / $2,837.61	Professional		$2,019.29	$2,366.48	$2,837.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,521.47 / $1,970.98 / $2,627.35	Facility		$1,521.47	$1,970.98	$2,627.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,674.00 / $1,921.54 / $2,893.43	Professional		$1,674.00	$1,921.54	$2,893.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,510.67 / $2,057.36 / $2,204.30	Facility		$1,510.67	$2,057.36	$2,204.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,521.47 / $2,163.54 / $3,865.00	Facility		$1,521.47	$2,163.54	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,908.92 / $2,204.91 / $3,021.21	Professional		$1,908.92	$2,204.91	$3,021.21
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 $2,008.69 / $2,567.84 / $3,451.21	Professional		$2,008.69	$2,567.84	$3,451.21
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 $1,445.79 / $2,162.98 / $3,383.59	Professional		$1,445.79	$2,162.98	$3,383.59