Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.98 / $7,920.26 / $20,400.00	Facility		$1,819.98	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.98 / $1,137.71 / $2,616.27	Professional		$737.98	$1,137.71	$2,616.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.54 / $1,588.82 / $2,445.62	Professional		$969.54	$1,588.82	$2,445.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,542.49 / $1,806.76 / $2,167.59	Professional		$1,542.49	$1,806.76	$2,167.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.85 / $1,502.26 / $2,000.05	Facility		$1,051.85	$1,502.26	$2,000.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.42 / $1,459.20 / $2,203.46	Professional		$1,245.42	$1,459.20	$2,203.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,149.72 / $1,572.49 / $1,675.00	Facility		$1,149.72	$1,572.49	$1,675.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,098.59 / $1,626.71 / $7,090.00	Facility		$1,098.59	$1,626.71	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,413.45 / $1,675.34 / $2,292.44	Professional		$1,413.45	$1,675.34	$2,292.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,525.89 / $1,951.25 / $2,622.50	Professional		$1,525.89	$1,951.25	$2,622.50
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 $1,146.86 / $1,666.00 / $2,570.31	Professional		$1,146.86	$1,666.00	$2,570.31