Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.48 / $7,920.26 / $20,400.00	Facility		$1,766.48	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.56 / $1,150.36 / $2,805.00	Professional		$769.56	$1,150.36	$2,805.00
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 $974.57 / $1,662.49 / $2,451.69	Professional		$974.57	$1,662.49	$2,451.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,642.34 / $1,935.52 / $2,322.07	Professional		$1,642.34	$1,935.52	$2,322.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,106.34 / $1,565.45 / $2,020.45	Facility		$1,106.34	$1,565.45	$2,020.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.40 / $1,503.46 / $2,319.62	Professional		$1,295.40	$1,503.46	$2,319.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,146.81 / $1,585.89 / $1,784.88	Facility		$1,146.81	$1,585.89	$1,784.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,150.36 / $1,705.61 / $3,397.00	Facility		$1,150.36	$1,705.61	$3,397.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,447.72 / $1,780.22 / $2,451.69	Professional		$1,447.72	$1,780.22	$2,451.69
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 $1,556.94 / $2,079.25 / $2,794.54	Professional		$1,556.94	$2,079.25	$2,794.54
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 $1,195.47 / $1,711.35 / $2,639.91	Professional		$1,195.47	$1,711.35	$2,639.91