Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,540.28 / $7,920.26 / $20,400.00	Facility		$2,540.28	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.36 / $1,787.31 / $4,037.62	Professional		$1,166.36	$1,787.31	$4,037.62
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 $1,527.73 / $2,447.94 / $3,797.81	Professional		$1,527.73	$2,447.94	$3,797.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,375.31 / $2,782.38 / $3,337.91	Professional		$2,375.31	$2,782.38	$3,337.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.31 / $2,398.32 / $3,501.54	Facility		$1,787.31	$2,398.32	$3,501.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $2,267.82 / $3,401.73	Professional		$2,070.00	$2,267.82	$3,401.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,787.81 / $2,447.51 / $2,587.54	Facility		$1,787.81	$2,447.51	$2,587.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,787.31 / $2,448.61 / $3,287.38	Facility		$1,787.31	$2,448.61	$3,287.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,236.46 / $2,605.08 / $3,546.47	Professional		$2,236.46	$2,605.08	$3,546.47
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 $2,356.17 / $3,014.29 / $4,051.24	Professional		$2,356.17	$3,014.29	$4,051.24
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 $1,735.24 / $2,557.10 / $3,968.92	Professional		$1,735.24	$2,557.10	$3,968.92