Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.72 / $7,920.26 / $20,400.00	Facility		$1,919.72	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.86 / $1,351.68 / $3,052.07	Professional		$898.86	$1,351.68	$3,052.07
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 $1,222.68 / $1,883.50 / $2,853.05	Professional		$1,222.68	$1,883.50	$2,853.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,795.62 / $2,103.26 / $2,523.31	Professional		$1,795.62	$2,103.26	$2,523.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.68 / $1,964.88 / $2,628.70	Facility		$1,351.68	$1,964.88	$2,628.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.80 / $1,719.26 / $2,568.54	Professional		$1,552.80	$1,719.26	$2,568.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,351.81 / $1,855.23 / $1,955.06	Facility		$1,351.81	$1,855.23	$1,955.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,351.68 / $2,080.03 / $3,362.02	Facility		$1,351.68	$2,080.03	$3,362.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,726.08 / $1,969.96 / $2,679.60	Professional		$1,726.08	$1,969.96	$2,679.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,781.74 / $2,277.50 / $3,060.98	Professional		$1,781.74	$2,277.50	$3,060.98
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 $1,398.44 / $1,993.33 / $3,001.28	Professional		$1,398.44	$1,993.33	$3,001.28