Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.05 / $7,920.26 / $20,400.00	Facility		$1,965.05	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.59 / $1,382.59 / $3,138.01	Professional		$915.59	$1,382.59	$3,138.01
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 $1,189.44 / $1,921.78 / $2,951.12	Professional		$1,189.44	$1,921.78	$2,951.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,847.39 / $2,163.89 / $2,596.05	Professional		$1,847.39	$2,163.89	$2,596.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.73 / $1,808.49 / $2,423.35	Facility		$1,330.73	$1,808.49	$2,423.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,559.04 / $1,763.60 / $2,645.41	Professional		$1,559.04	$1,763.60	$2,645.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,384.22 / $1,907.49 / $2,010.67	Facility		$1,384.22	$1,907.49	$2,010.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,356.00 / $1,977.10 / $3,457.65	Facility		$1,356.00	$1,977.10	$3,457.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,744.01 / $2,025.04 / $2,750.75	Professional		$1,744.01	$2,025.04	$2,750.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,831.56 / $2,342.28 / $3,148.05	Professional		$1,831.56	$2,342.28	$3,148.05
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 $1,318.95 / $1,992.91 / $3,084.22	Professional		$1,318.95	$1,992.91	$3,084.22