Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.54 / $7,920.26 / $20,400.00	Facility		$2,288.54	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.92 / $1,457.23 / $3,279.65	Professional		$973.92	$1,457.23	$3,279.65
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 $1,266.13 / $2,015.72 / $3,090.76	Professional		$1,266.13	$2,015.72	$3,090.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,919.74 / $2,256.46 / $2,697.72	Professional		$1,919.74	$2,256.46	$2,697.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.23 / $1,991.65 / $2,577.15	Facility		$1,457.23	$1,991.65	$2,577.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.68 / $1,877.36 / $2,763.29	Professional		$1,688.68	$1,877.36	$2,763.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,426.37 / $1,972.48 / $2,105.81	Facility		$1,426.37	$1,972.48	$2,105.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,457.23 / $2,037.57 / $2,681.56	Facility		$1,457.23	$2,037.57	$2,681.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,857.60 / $2,125.00 / $2,887.50	Professional		$1,857.60	$2,125.00	$2,887.50
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 $1,921.96 / $2,453.11 / $3,297.01	Professional		$1,921.96	$2,453.11	$3,297.01
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 $1,501.44 / $2,120.30 / $3,293.77	Professional		$1,501.44	$2,120.30	$3,293.77