Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.21 / $7,920.26 / $20,400.00	Facility		$1,763.21	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.42 / $1,097.27 / $2,537.67	Professional		$714.42	$1,097.27	$2,537.67
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 $934.13 / $1,537.62 / $2,348.91	Professional		$934.13	$1,537.62	$2,348.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.67 / $1,755.43 / $2,106.01	Professional		$1,498.67	$1,755.43	$2,106.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.40 / $1,449.45 / $1,887.85	Facility		$1,086.40	$1,449.45	$1,887.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.80 / $1,400.58 / $2,136.23	Professional		$1,270.80	$1,400.58	$2,136.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.01 / $1,490.75 / $1,623.41	Facility		$1,078.01	$1,490.75	$1,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,097.27 / $1,569.36 / $3,397.00	Facility		$1,097.27	$1,569.36	$3,397.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,364.18 / $1,615.53 / $2,218.52	Professional		$1,364.18	$1,615.53	$2,218.52
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 $1,476.69 / $1,891.15 / $2,541.73	Professional		$1,476.69	$1,891.15	$2,541.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.55 / $1,629.46 / $2,530.65	Professional		$1,124.55	$1,629.46	$2,530.65