Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $20,400.00	Facility		$1,924.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.81 / $1,220.32 / $2,929.59	Professional		$826.81	$1,220.32	$2,929.59
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 $1,031.08 / $1,772.40 / $2,586.58	Professional		$1,031.08	$1,772.40	$2,586.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,711.88 / $2,023.88 / $2,428.08	Professional		$1,711.88	$2,023.88	$2,428.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,220.32 / $1,658.50 / $2,128.40	Facility		$1,220.32	$1,658.50	$2,128.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.40 / $1,595.88 / $2,413.96	Professional		$1,355.40	$1,595.88	$2,413.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,178.30 / $1,656.44 / $1,860.59	Facility		$1,178.30	$1,656.44	$1,860.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,266.16 / $1,818.23 / $5,949.00	Facility		$1,266.16	$1,818.23	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,538.84 / $1,866.15 / $2,559.67	Professional		$1,538.84	$1,866.15	$2,559.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,646.67 / $2,167.44 / $2,913.07	Professional		$1,646.67	$2,167.44	$2,913.07
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 $1,240.32 / $1,758.33 / $2,866.10	Professional		$1,240.32	$1,758.33	$2,866.10