Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.24 / $7,920.26 / $20,400.00	Facility		$1,868.24	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.63 / $1,087.95 / $2,667.39	Professional		$682.63	$1,087.95	$2,667.39
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 $920.42 / $1,585.19 / $2,324.03	Professional		$920.42	$1,585.19	$2,324.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,562.78 / $1,845.52 / $2,214.09	Professional		$1,562.78	$1,845.52	$2,214.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,049.92 / $1,503.88 / $1,896.35	Facility		$1,049.92	$1,503.88	$1,896.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.13 / $1,429.31 / $2,205.23	Professional		$1,225.13	$1,429.31	$2,205.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.71 / $1,482.04 / $1,695.10	Facility		$1,071.71	$1,482.04	$1,695.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,087.95 / $1,617.54 / $3,397.00	Facility		$1,087.95	$1,617.54	$3,397.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,363.61 / $1,680.21 / $2,324.03	Professional		$1,363.61	$1,680.21	$2,324.03
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 $1,452.14 / $1,974.67 / $2,653.97	Professional		$1,452.14	$1,974.67	$2,653.97
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 $1,120.14 / $1,577.34 / $2,623.14	Professional		$1,120.14	$1,577.34	$2,623.14