Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,973.73 / $7,920.26 / $20,400.00	Facility		$1,973.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $1,246.58 / $2,840.18	Professional		$810.61	$1,246.58	$2,840.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.71 / $1,723.62 / $2,642.13	Professional		$1,061.71	$1,723.62	$2,642.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,673.95 / $1,960.73 / $2,352.32	Professional		$1,673.95	$1,960.73	$2,352.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,233.33 / $1,629.98 / $2,136.90	Facility		$1,233.33	$1,629.98	$2,136.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.00 / $1,584.72 / $2,390.36	Professional		$1,434.00	$1,584.72	$2,390.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.21 / $1,699.12 / $1,818.38	Facility		$1,239.21	$1,699.12	$1,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,233.33 / $1,658.16 / $2,309.15	Facility		$1,233.33	$1,658.16	$2,309.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,545.69 / $1,812.41 / $2,487.96	Professional		$1,545.69	$1,812.41	$2,487.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,653.82 / $2,118.28 / $2,846.99	Professional		$1,653.82	$2,118.28	$2,846.99
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 $1,289.00 / $1,753.04 / $2,785.81	Professional		$1,289.00	$1,753.04	$2,785.81