Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,922.73 / $7,920.26 / $20,400.00	Facility		$1,922.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.21 / $1,216.26 / $2,765.54	Professional		$792.21	$1,216.26	$2,765.54
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 $1,032.85 / $1,679.66 / $2,570.11	Professional		$1,032.85	$1,679.66	$2,570.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,630.10 / $1,909.38 / $2,290.71	Professional		$1,630.10	$1,909.38	$2,290.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.28 / $1,586.58 / $2,106.30	Facility		$1,222.28	$1,586.58	$2,106.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.56 / $1,544.42 / $2,325.75	Professional		$1,392.56	$1,544.42	$2,325.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,207.85 / $1,652.22 / $1,770.14	Facility		$1,207.85	$1,652.22	$1,770.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,222.28 / $1,726.49 / $5,949.00	Facility		$1,222.28	$1,726.49	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,511.52 / $1,763.71 / $2,421.11	Professional		$1,511.52	$1,763.71	$2,421.11
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 $1,611.38 / $2,062.08 / $2,771.46	Professional		$1,611.38	$2,062.08	$2,771.46
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 $1,233.11 / $1,794.30 / $2,787.40	Professional		$1,233.11	$1,794.30	$2,787.40