Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,017.82 / $7,920.26 / $20,400.00	Facility		$2,017.82	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.60 / $1,419.89 / $3,206.09	Professional		$944.60	$1,419.89	$3,206.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.04 / $1,977.39 / $3,005.33	Professional		$1,207.04	$1,977.39	$3,005.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,886.23 / $2,209.38 / $2,650.63	Professional		$1,886.23	$2,209.38	$2,650.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.90 / $1,956.89 / $2,493.32	Facility		$1,348.90	$1,956.89	$2,493.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,637.40 / $1,811.02 / $2,701.30	Professional		$1,637.40	$1,811.02	$2,701.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,376.05 / $1,936.30 / $2,054.21	Facility		$1,376.05	$1,936.30	$2,054.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,371.32 / $2,083.33 / $5,217.00	Facility		$1,371.32	$2,083.33	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,769.40 / $2,068.66 / $2,815.51	Professional		$1,769.40	$2,068.66	$2,815.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,872.76 / $2,393.01 / $3,216.23	Professional		$1,872.76	$2,393.01	$3,216.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.50 / $2,051.71 / $3,154.63	Professional		$1,465.50	$2,051.71	$3,154.63