Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.85 / $7,920.26 / $20,400.00	Facility		$1,925.85	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.59 / $1,356.27 / $3,063.17	Professional		$882.59	$1,356.27	$3,063.17
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 $1,150.30 / $1,859.96 / $2,863.34	Professional		$1,150.30	$1,859.96	$2,863.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,802.94 / $2,111.83 / $2,533.59	Professional		$1,802.94	$2,111.83	$2,533.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.91 / $1,757.08 / $2,316.25	Facility		$1,336.91	$1,757.08	$2,316.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.60 / $1,710.00 / $2,578.15	Professional		$1,557.60	$1,710.00	$2,578.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,343.58 / $1,837.14 / $1,961.76	Facility		$1,343.58	$1,837.14	$1,961.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,356.27 / $1,922.66 / $5,949.00	Facility		$1,356.27	$1,922.66	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,686.95 / $1,961.27 / $2,688.78	Professional		$1,686.95	$1,961.27	$2,688.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,787.89 / $2,285.30 / $3,071.47	Professional		$1,787.89	$2,285.30	$3,071.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $22,956.00	Facility		$2,912.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,394.96 / $1,916.91 / $3,011.65	Professional		$1,394.96	$1,916.91	$3,011.65