Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.93 / $7,920.26 / $20,400.00	Facility		$1,970.93	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.79 / $1,274.18 / $3,137.06	Professional		$863.79	$1,274.18	$3,137.06
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 $1,069.47 / $1,885.50 / $2,907.58	Professional		$1,069.47	$1,885.50	$2,907.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,853.25 / $2,170.75 / $2,604.28	Professional		$1,853.25	$2,170.75	$2,604.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.76 / $1,794.58 / $2,346.41	Facility		$1,395.76	$1,794.58	$2,346.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,446.36 / $1,704.41 / $2,629.67	Professional		$1,446.36	$1,704.41	$2,629.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,306.33 / $1,831.78 / $2,003.97	Facility		$1,306.33	$1,831.78	$2,003.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,395.76 / $1,898.87 / $5,949.00	Facility		$1,395.76	$1,898.87	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,636.60 / $2,003.81 / $2,747.55	Professional		$1,636.60	$2,003.81	$2,747.55
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 $1,824.18 / $2,334.48 / $3,137.56	Professional		$1,824.18	$2,334.48	$3,137.56
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 $1,304.56 / $1,871.76 / $3,058.34	Professional		$1,304.56	$1,871.76	$3,058.34