Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,906.05 / $7,920.26 / $20,400.00	Facility		$1,906.05	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.42 / $1,180.99 / $2,746.09	Professional		$772.42	$1,180.99	$2,746.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.49 / $1,659.32 / $2,541.31	Professional		$1,002.49	$1,659.32	$2,541.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,623.75 / $1,901.93 / $2,281.78	Professional		$1,623.75	$1,901.93	$2,281.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.70 / $1,560.24 / $2,083.35	Facility		$1,037.70	$1,560.24	$2,083.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.46 / $1,502.14 / $2,308.28	Professional		$1,298.46	$1,502.14	$2,308.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,190.90 / $1,646.86 / $1,755.40	Facility		$1,190.90	$1,646.86	$1,755.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,576.66 / $2,226.77	Facility		$1,040.00	$1,576.66	$2,226.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,472.16 / $1,744.50 / $2,397.78	Professional		$1,472.16	$1,744.50	$2,397.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,596.00 / $2,044.91 / $2,748.38	Professional		$1,596.00	$2,044.91	$2,748.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,757.26 / $2,669.05	Professional		$1,188.00	$1,757.26	$2,669.05