Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.35 / $7,920.26 / $20,400.00	Facility		$1,739.35	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.34 / $1,097.08 / $2,504.10	Professional		$716.34	$1,097.08	$2,504.10
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 $930.17 / $1,517.31 / $2,313.92	Professional		$930.17	$1,517.31	$2,313.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,477.44 / $1,730.56 / $2,076.17	Professional		$1,477.44	$1,730.56	$2,076.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,105.02 / $1,436.54 / $1,898.05	Facility		$1,105.02	$1,436.54	$1,898.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.64 / $1,381.98 / $2,104.79	Professional		$1,193.64	$1,381.98	$2,104.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.01 / $1,488.07 / $1,601.97	Facility		$1,078.01	$1,488.07	$1,601.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,105.02 / $1,558.79 / $3,865.00	Facility		$1,105.02	$1,558.79	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,363.45 / $1,592.21 / $2,189.88	Professional		$1,363.45	$1,592.21	$2,189.88
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 $1,457.01 / $1,866.18 / $2,508.16	Professional		$1,457.01	$1,866.18	$2,508.16
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 $1,085.28 / $1,560.10 / $2,438.28	Professional		$1,085.28	$1,560.10	$2,438.28