Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $1,064.52 / $1,064.52	Professional		$577.60	$1,064.52	$1,064.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,814.00 / $1,814.00 / $1,814.00	Facility		$1,814.00	$1,814.00	$1,814.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.82 / $696.82 / $834.87	Professional		$696.82	$696.82	$834.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,644.05 / $2,213.15 / $2,497.19	Professional		$1,644.05	$2,213.15	$2,497.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,064.52 / $1,117.75 / $2,288.71	Facility		$1,064.52	$1,117.75	$2,288.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92,699.07 / $92,699.07 / $92,699.07	Professional		$92,699.07	$92,699.07	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,366.67 / $3,913.18 / $5,483.45	Facility		$1,366.67	$3,913.18	$5,483.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,064.52 / $1,333.31 / $2,288.71	Facility		$1,064.52	$1,333.31	$2,288.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,253.45 / $1,999.00 / $2,036.33	Professional		$1,253.45	$1,999.00	$2,036.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,577.93 / $2,357.71 / $2,761.02	Professional		$1,577.93	$2,357.71	$2,761.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,874.00 / $17,192.00 / $22,956.00	Facility		$4,874.00	$17,192.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.17 / $2,042.59 / $3,336.90	Professional		$1,488.17	$2,042.59	$3,336.90