Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,843.27 / $7,920.26 / $20,400.00	Facility		$1,843.27	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $1,144.34 / $2,653.34	Professional		$744.09	$1,144.34	$2,653.34
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 $973.20 / $1,602.44 / $2,460.02	Professional		$973.20	$1,602.44	$2,460.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,565.01 / $1,833.14 / $2,199.23	Professional		$1,565.01	$1,833.14	$2,199.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.96 / $1,511.28 / $2,016.20	Facility		$1,162.96	$1,511.28	$2,016.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.90 / $1,479.35 / $2,231.42	Professional		$1,307.90	$1,479.35	$2,231.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,155.53 / $1,581.87 / $1,697.78	Facility		$1,155.53	$1,581.87	$1,697.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.96 / $1,639.97 / $5,949.00	Facility		$1,162.96	$1,639.97	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,427.16 / $1,688.93 / $2,320.16	Professional		$1,427.16	$1,688.93	$2,320.16
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 $1,544.34 / $1,977.79 / $2,658.17	Professional		$1,544.34	$1,977.79	$2,658.17
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 $1,175.51 / $1,717.68 / $2,601.40	Professional		$1,175.51	$1,717.68	$2,601.40