Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,103.86 / $7,920.26 / $20,400.00	Facility		$2,103.86	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.83 / $1,421.35 / $5,277.00	Professional		$1,007.83	$1,421.35	$5,277.00
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 $1,394.25 / $2,163.38 / $3,198.93	Professional		$1,394.25	$2,163.38	$3,198.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,975.43 / $2,319.73 / $2,775.98	Professional		$1,975.43	$2,319.73	$2,775.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.28 / $1,931.92 / $2,868.75	Facility		$1,350.28	$1,931.92	$2,868.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,724.16 / $1,907.41 / $2,861.11	Professional		$1,724.16	$1,907.41	$2,861.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,514.06 / $2,046.85 / $2,273.31	Facility		$1,514.06	$2,046.85	$2,273.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,400.23 / $2,104.88 / $5,217.00	Facility		$1,400.23	$2,104.88	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,962.30 / $2,247.34 / $2,988.15	Professional		$1,962.30	$2,247.34	$2,988.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,962.56 / $2,538.96 / $3,400.97	Professional		$1,962.56	$2,538.96	$3,400.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,534.96 / $2,260.71 / $3,363.31	Professional		$1,534.96	$2,260.71	$3,363.31