Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,034.05 / $7,920.26 / $20,400.00	Facility		$2,034.05	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.27 / $1,285.11 / $2,923.17	Professional		$834.27	$1,285.11	$2,923.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.27 / $1,775.56 / $2,723.42	Professional		$1,094.27	$1,775.56	$2,723.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.33 / $2,017.41 / $2,420.31	Professional		$1,722.33	$2,017.41	$2,420.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,223.65 / $1,677.72 / $2,231.25	Facility		$1,223.65	$1,677.72	$2,231.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.22 / $1,625.04 / $2,461.10	Professional		$1,388.22	$1,625.04	$2,461.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,160.27 / $1,714.63 / $1,871.98	Facility		$1,160.27	$1,714.63	$1,871.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,218.91 / $1,681.20 / $2,379.51	Facility		$1,218.91	$1,681.20	$2,379.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,592.59 / $1,867.98 / $2,562.25	Professional		$1,592.59	$1,867.98	$2,562.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,705.48 / $2,180.71 / $2,930.91	Professional		$1,705.48	$2,180.71	$2,930.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $17,375.00 / $26,255.00	Facility		$3,028.00	$17,375.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.22 / $1,832.60 / $2,865.31	Professional		$1,222.22	$1,832.60	$2,865.31