Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.87 / $7,920.26 / $20,400.00	Facility		$2,112.87	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.31 / $1,342.35 / $2,739.41	Professional		$890.31	$1,342.35	$2,739.41
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 $1,137.66 / $1,868.93 / $2,830.42	Professional		$1,137.66	$1,868.93	$2,830.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,793.76 / $2,101.07 / $2,520.67	Professional		$1,793.76	$2,101.07	$2,520.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,275.23 / $1,812.17 / $2,312.00	Facility		$1,275.23	$1,812.17	$2,312.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.80 / $1,705.37 / $2,558.06	Professional		$1,525.80	$1,705.37	$2,558.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,324.14 / $1,821.06 / $1,946.35	Facility		$1,324.14	$1,821.06	$1,946.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,282.04 / $1,919.56 / $3,865.00	Facility		$1,282.04	$1,919.56	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,679.04 / $1,945.54 / $2,660.20	Professional		$1,679.04	$1,945.54	$2,660.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,770.67 / $2,267.35 / $3,047.35	Professional		$1,770.67	$2,267.35	$3,047.35
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 $1,350.44 / $1,924.40 / $2,982.63	Professional		$1,350.44	$1,924.40	$2,982.63