Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,040.38 / $4,962.67 / $15,341.00	Facility		$2,040.38	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.88 / $1,387.26 / $3,227.97	Professional		$939.88	$1,387.26	$3,227.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.44 / $2,126.53 / $3,031.76	Professional		$1,254.44	$2,126.53	$3,031.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,901.16 / $2,368.98 / $2,671.61	Professional		$1,901.16	$2,368.98	$2,671.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.32 / $1,969.44 / $2,880.47	Facility		$1,354.32	$1,969.44	$2,880.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,564.17 / $1,808.42 / $3,116.94	Professional		$1,564.17	$1,808.42	$3,116.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,418.62 / $1,961.76 / $2,065.61	Facility		$1,418.62	$1,961.76	$2,065.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,355.19 / $2,111.16 / $2,880.47	Facility		$1,355.19	$2,111.16	$2,880.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,795.88 / $2,185.92 / $2,897.40	Professional		$1,795.88	$2,185.92	$2,897.40
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 $1,885.68 / $2,480.69 / $3,234.07	Professional		$1,885.68	$2,480.69	$3,234.07
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 $1,508.58 / $2,103.84 / $3,231.56	Professional		$1,508.58	$2,103.84	$3,231.56