Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,266.19 / $7,920.26 / $20,400.00	Facility		$2,266.19	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.71 / $1,324.46 / $3,288.69	Professional		$885.71	$1,324.46	$3,288.69
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 $1,121.34 / $1,952.63 / $2,817.75	Professional		$1,121.34	$1,952.63	$2,817.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,927.75 / $2,273.31 / $2,727.32	Professional		$1,927.75	$2,273.31	$2,727.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $1,761.12 / $2,312.85	Facility		$1,284.00	$1,761.12	$2,312.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.60 / $1,744.68 / $2,722.25	Professional		$1,500.60	$1,744.68	$2,722.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,308.63 / $1,809.67 / $2,091.73	Facility		$1,308.63	$1,809.67	$2,091.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,324.46 / $1,963.36 / $7,090.00	Facility		$1,324.46	$1,963.36	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,675.01 / $2,059.37 / $2,834.48	Professional		$1,675.01	$2,059.37	$2,834.48
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 $1,793.39 / $2,436.71 / $3,267.74	Professional		$1,793.39	$2,436.71	$3,267.74
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 $1,350.72 / $1,896.91 / $3,034.62	Professional		$1,350.72	$1,896.91	$3,034.62