Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.36 / $7,920.26 / $20,400.00	Facility		$1,836.36	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.20 / $1,156.70 / $2,641.09	Professional		$754.20	$1,156.70	$2,641.09
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 $984.25 / $1,604.17 / $2,448.71	Professional		$984.25	$1,604.17	$2,448.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,558.58 / $1,825.61 / $2,190.21	Professional		$1,558.58	$1,825.61	$2,190.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,161.91 / $1,515.90 / $1,990.70	Facility		$1,161.91	$1,515.90	$1,990.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.40 / $1,472.99 / $2,221.83	Professional		$1,325.40	$1,472.99	$2,221.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,138.08 / $1,562.44 / $1,689.74	Facility		$1,138.08	$1,562.44	$1,689.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,161.91 / $1,644.66 / $5,949.00	Facility		$1,161.91	$1,644.66	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,435.14 / $1,682.07 / $2,311.85	Professional		$1,435.14	$1,682.07	$2,311.85
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 $1,538.80 / $1,968.42 / $2,645.58	Professional		$1,538.80	$1,968.42	$2,645.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,123.29 / $1,611.10 / $2,592.08	Professional		$1,123.29	$1,611.10	$2,592.08