Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.58 / $7,920.26 / $20,400.00	Facility		$1,983.58	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.07 / $1,396.08 / $2,662.75	Professional		$943.07	$1,396.08	$2,662.75
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 $1,255.96 / $1,944.40 / $2,951.82	Professional		$1,255.96	$1,944.40	$2,951.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,854.65 / $2,172.40 / $2,606.26	Professional		$1,854.65	$2,172.40	$2,606.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,326.28 / $1,924.12 / $2,513.23	Facility		$1,326.28	$1,924.12	$2,513.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $1,780.64 / $2,654.99	Professional		$1,608.00	$1,780.64	$2,654.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,387.61 / $1,902.13 / $2,019.38	Facility		$1,387.61	$1,902.13	$2,019.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,346.51 / $2,015.62 / $3,472.62	Facility		$1,346.51	$2,015.62	$3,472.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,781.37 / $2,032.16 / $2,767.76	Professional		$1,781.37	$2,032.16	$2,767.76
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 $1,840.79 / $2,352.42 / $3,161.69	Professional		$1,840.79	$2,352.42	$3,161.69
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 $1,381.92 / $2,015.30 / $3,104.72	Professional		$1,381.92	$2,015.30	$3,104.72