Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.89 / $7,920.26 / $20,400.00	Facility		$1,833.89	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.69 / $1,107.48 / $2,621.41	Professional		$742.69	$1,107.48	$2,621.41
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 $916.08 / $1,602.95 / $2,448.71	Professional		$916.08	$1,602.95	$2,448.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,559.55 / $1,826.73 / $2,191.56	Professional		$1,559.55	$1,826.73	$2,191.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.80 / $1,517.14 / $2,006.00	Facility		$1,167.80	$1,517.14	$2,006.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,442.74 / $2,218.32	Professional		$1,245.00	$1,442.74	$2,218.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,131.90 / $1,551.24 / $1,673.66	Facility		$1,131.90	$1,551.24	$1,673.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.80 / $1,620.58 / $3,865.00	Facility		$1,167.80	$1,620.58	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,391.65 / $1,677.96 / $2,295.88	Professional		$1,391.65	$1,677.96	$2,295.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,533.27 / $1,949.69 / $2,620.40	Professional		$1,533.27	$1,949.69	$2,620.40
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 $1,128.14 / $1,625.20 / $2,582.75	Professional		$1,128.14	$1,625.20	$2,582.75