Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.62 / $7,920.26 / $20,400.00	Facility		$1,928.62	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.07 / $1,357.87 / $2,503.71	Professional		$933.07	$1,357.87	$2,503.71
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 $1,228.07 / $1,891.85 / $2,867.46	Professional		$1,228.07	$1,891.85	$2,867.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,803.51 / $2,112.50 / $2,534.39	Professional		$1,803.51	$2,112.50	$2,534.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,871.16 / $2,457.63	Facility		$1,350.00	$1,871.16	$2,457.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.61 / $1,727.94 / $2,579.90	Professional		$1,576.61	$1,727.94	$2,579.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,347.88 / $1,845.85 / $1,963.77	Facility		$1,347.88	$1,845.85	$1,963.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.87 / $1,966.50 / $3,377.00	Facility		$1,357.87	$1,966.50	$3,377.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,734.14 / $1,978.80 / $2,691.54	Professional		$1,734.14	$1,978.80	$2,691.54
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 $1,789.73 / $2,287.65 / $3,074.62	Professional		$1,789.73	$2,287.65	$3,074.62
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 $1,342.56 / $1,957.91 / $3,016.30	Professional		$1,342.56	$1,957.91	$3,016.30