Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.68 / $7,920.26 / $20,400.00	Facility		$1,863.68	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.57 / $1,212.75 / $2,968.20	Professional		$812.57	$1,212.75	$2,968.20
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 $1,027.16 / $1,761.89 / $2,584.96	Professional		$1,027.16	$1,761.89	$2,584.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,739.58 / $2,051.25 / $2,460.92	Professional		$1,739.58	$2,051.25	$2,460.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.75 / $1,615.50 / $2,108.85	Facility		$1,212.75	$1,615.50	$2,108.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.60 / $1,592.34 / $2,456.76	Professional		$1,365.60	$1,592.34	$2,456.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,204.91 / $1,675.00 / $1,888.06	Facility		$1,204.91	$1,675.00	$1,888.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,799.46 / $5,217.00	Facility		$1,245.00	$1,799.46	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,526.60 / $1,880.35 / $2,588.69	Professional		$1,526.60	$1,880.35	$2,588.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,643.40 / $2,199.44 / $2,956.08	Professional		$1,643.40	$2,199.44	$2,956.08
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 $1,257.17 / $1,757.13 / $2,970.17	Professional		$1,257.17	$1,757.13	$2,970.17