Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.90 / $7,920.26 / $20,400.00	Facility		$2,280.90	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.66 / $1,449.85 / $3,277.91	Professional		$946.66	$1,449.85	$3,277.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.49 / $1,989.41 / $3,068.09	Professional		$1,232.49	$1,989.41	$3,068.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,928.74 / $2,259.17 / $2,710.37	Professional		$1,928.74	$2,259.17	$2,710.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.22 / $1,879.84 / $2,490.50	Facility		$1,377.22	$1,879.84	$2,490.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.25 / $1,832.22 / $2,758.94	Professional		$1,646.25	$1,832.22	$2,758.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,426.85 / $1,973.15 / $2,099.78	Facility		$1,426.85	$1,973.15	$2,099.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,377.36 / $2,061.11 / $3,865.00	Facility		$1,377.36	$2,061.11	$3,865.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,807.31 / $2,099.19 / $2,876.89	Professional		$1,807.31	$2,099.19	$2,876.89
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 $1,912.74 / $2,446.09 / $3,287.57	Professional		$1,912.74	$2,446.09	$3,287.57
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 $1,434.72 / $2,092.31 / $3,223.34	Professional		$1,434.72	$2,092.31	$3,223.34