Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,993.04 / $4,962.67 / $15,341.00	Facility		$1,993.04	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.66 / $1,398.71 / $2,818.78	Professional		$936.66	$1,398.71	$2,818.78
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 $1,205.67 / $1,951.03 / $2,979.64	Professional		$1,205.67	$1,951.03	$2,979.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,851.77 / $2,175.46 / $2,602.21	Professional		$1,851.77	$2,175.46	$2,602.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,398.71 / $1,928.52 / $2,861.96	Facility		$1,398.71	$1,928.52	$2,861.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.04 / $1,803.58 / $2,655.88	Professional		$1,623.04	$1,803.58	$2,655.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,423.46 / $1,949.03 / $2,030.10	Facility		$1,423.46	$1,949.03	$2,030.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,398.71 / $2,102.15 / $2,861.96	Facility		$1,398.71	$2,102.15	$2,861.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $325.77 / $325.77 / $325.77	Facility	AS	$325.77	$325.77	$325.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,803.58 / $2,074.88 / $2,782.45	Professional		$1,803.58	$2,074.88	$2,782.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,856.16 / $2,364.91 / $3,178.47	Professional		$1,856.16	$2,364.91	$3,178.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,394.83 / $2,036.31 / $3,126.66	Professional		$1,394.83	$2,036.31	$3,126.66