Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,208.37 / $7,920.26 / $20,400.00	Facility		$2,208.37	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.32 / $1,404.38 / $3,172.10	Professional		$914.32	$1,404.38	$3,172.10
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 $1,193.53 / $1,925.67 / $2,971.37	Professional		$1,193.53	$1,925.67	$2,971.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,867.36 / $2,187.29 / $2,624.12	Professional		$1,867.36	$2,187.29	$2,624.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,404.38 / $1,820.94 / $2,378.30	Facility		$1,404.38	$1,820.94	$2,378.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.12 / $1,774.80 / $2,672.46	Professional		$1,574.12	$1,774.80	$2,672.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,373.56 / $1,899.45 / $2,032.11	Facility		$1,373.56	$1,899.45	$2,032.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,404.38 / $1,993.18 / $7,090.00	Facility		$1,404.38	$1,993.18	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,749.94 / $2,031.25 / $2,786.12	Professional		$1,749.94	$2,031.25	$2,786.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,851.85 / $2,367.26 / $3,181.62	Professional		$1,851.85	$2,367.26	$3,181.62
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 $1,389.59 / $1,997.54 / $3,121.96	Professional		$1,389.59	$1,997.54	$3,121.96