Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,695.62 / $7,920.26 / $20,400.00	Facility		$1,695.62	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.98 / $1,115.80 / $2,671.52	Professional		$759.98	$1,115.80	$2,671.52
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 $937.64 / $1,626.03 / $2,386.98	Professional		$937.64	$1,626.03	$2,386.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,561.85 / $1,849.54 / $2,218.92	Professional		$1,561.85	$1,849.54	$2,218.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.50 / $1,512.80 / $1,983.05	Facility		$1,120.50	$1,512.80	$1,983.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.80 / $1,445.84 / $2,196.48	Professional		$1,243.80	$1,445.84	$2,196.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,094.49 / $1,528.94 / $1,692.42	Facility		$1,094.49	$1,528.94	$1,692.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.47 / $1,666.03 / $5,949.00	Facility		$1,156.47	$1,666.03	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,401.48 / $1,698.06 / $2,344.19	Professional		$1,401.48	$1,698.06	$2,344.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,519.60 / $1,971.54 / $2,649.77	Professional		$1,519.60	$1,971.54	$2,649.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.76 / $1,625.56 / $2,628.34	Professional		$1,131.76	$1,625.56	$2,628.34