Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.92 / $7,920.26 / $20,400.00	Facility		$2,280.92	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.16 / $1,449.64 / $3,275.03	Professional		$955.16	$1,449.64	$3,275.03
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 $1,229.18 / $1,991.01 / $3,056.77	Professional		$1,229.18	$1,991.01	$3,056.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,927.41 / $2,257.62 / $2,708.50	Professional		$1,927.41	$2,257.62	$2,708.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.16 / $1,879.84 / $2,509.19	Facility		$1,377.16	$1,879.84	$2,509.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.56 / $1,830.44 / $2,752.81	Professional		$1,584.56	$1,830.44	$2,752.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $1,984.54 / $2,092.41	Facility		$1,438.00	$1,984.54	$2,092.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,390.26 / $2,072.98 / $7,090.00	Facility		$1,390.26	$2,072.98	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,804.96 / $2,109.41 / $2,867.48	Professional		$1,804.96	$2,109.41	$2,867.48
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 $1,908.44 / $2,437.50 / $3,276.03	Professional		$1,908.44	$2,437.50	$3,276.03
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 $1,463.63 / $2,090.91 / $3,221.19	Professional		$1,463.63	$2,090.91	$3,221.19