Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,031.77 / $7,920.26 / $20,400.00	Facility		$2,031.77	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.53 / $1,339.96 / $3,198.30	Professional		$901.53	$1,339.96	$3,198.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.34 / $1,933.81 / $2,849.97	Professional		$1,133.34	$1,933.81	$2,849.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,869.44 / $2,204.96 / $2,645.33	Professional		$1,869.44	$2,204.96	$2,645.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,307.83 / $1,811.02 / $2,337.50	Facility		$1,307.83	$1,811.02	$2,337.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.80 / $1,741.74 / $2,639.28	Professional		$1,501.80	$1,741.74	$2,639.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,329.95 / $1,839.10 / $2,034.12	Facility		$1,329.95	$1,839.10	$2,034.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,339.96 / $1,989.98 / $5,217.00	Facility		$1,339.96	$1,989.98	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,686.40 / $2,044.74 / $2,808.04	Professional		$1,686.40	$2,044.74	$2,808.04
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 $1,814.35 / $2,369.60 / $3,184.76	Professional		$1,814.35	$2,369.60	$3,184.76
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 $1,356.00 / $1,977.50 / $3,203.10	Professional		$1,356.00	$1,977.50	$3,203.10