Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $20,400.00	Facility		$1,924.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.73 / $1,235.36 / $2,866.18	Professional		$800.73	$1,235.36	$2,866.18
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 $1,050.83 / $1,727.37 / $2,667.86	Professional		$1,050.83	$1,727.37	$2,667.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,688.45 / $1,977.72 / $2,372.69	Professional		$1,688.45	$1,977.72	$2,372.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.78 / $1,629.36 / $2,186.19	Facility		$1,245.78	$1,629.36	$2,186.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.40 / $1,569.10 / $2,411.34	Professional		$1,448.40	$1,569.10	$2,411.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,254.40 / $1,699.73 / $1,835.13	Facility		$1,254.40	$1,699.73	$1,835.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.78 / $1,751.50 / $5,949.00	Facility		$1,245.78	$1,751.50	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,541.56 / $1,830.93 / $2,513.40	Professional		$1,541.56	$1,830.93	$2,513.40
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 $1,670.42 / $2,137.79 / $2,873.21	Professional		$1,670.42	$2,137.79	$2,873.21
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 $1,275.47 / $1,791.99 / $2,813.79	Professional		$1,275.47	$1,791.99	$2,813.79