Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.69 / $1,078.13 / $2,277.76	Professional		$795.69	$1,078.13	$2,277.76
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 $1,044.70 / $1,689.87 / $2,604.07	Professional		$1,044.70	$1,689.87	$2,604.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,641.78 / $1,923.05 / $2,307.12	Professional		$1,641.78	$1,923.05	$2,307.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.14 / $1,660.69 / $2,399.16	Facility		$1,230.14	$1,660.69	$2,399.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.80 / $1,562.15 / $2,499.44	Professional		$1,411.80	$1,562.15	$2,499.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,221.42 / $1,675.67 / $1,782.87	Facility		$1,221.42	$1,675.67	$1,782.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.14 / $1,722.20 / $2,262.81	Facility		$1,230.14	$1,722.20	$2,262.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.53 / $1,779.83 / $2,437.12	Professional		$1,513.53	$1,779.83	$2,437.12
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 $1,621.83 / $2,076.91 / $2,791.39	Professional		$1,621.83	$2,076.91	$2,791.39
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 $1,234.80 / $1,750.70 / $2,728.36	Professional		$1,234.80	$1,750.70	$2,728.36