Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.01 / $5,116.62 / $20,400.00	Facility		$2,106.01	$5,116.62	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.44 / $1,601.04 / $3,266.67	Professional		$1,083.44	$1,601.04	$3,266.67
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 $1,461.14 / $2,348.23 / $3,637.05	Professional		$1,461.14	$2,348.23	$3,637.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,279.90 / $2,670.50 / $3,203.84	Professional		$2,279.90	$2,670.50	$3,203.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.18 / $2,222.69 / $2,972.45	Facility		$1,653.18	$2,222.69	$2,972.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.00 / $2,162.00 / $3,261.11	Professional		$1,866.00	$2,162.00	$3,261.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,705.92 / $2,340.31 / $2,481.67	Facility		$1,705.92	$2,340.31	$2,481.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,681.43 / $2,420.92 / $4,267.62	Facility		$1,681.43	$2,420.92	$4,267.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,142.66 / $2,485.83 / $3,398.60	Professional		$2,142.66	$2,485.83	$3,398.60
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 $2,257.78 / $2,890.97 / $3,885.50	Professional		$2,257.78	$2,890.97	$3,885.50
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 $1,624.72 / $2,445.10 / $3,803.16	Professional		$1,624.72	$2,445.10	$3,803.16