Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,895.69 / $7,920.26 / $21,735.00	Facility		$1,895.69	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.44 / $1,221.53 / $2,690.54	Professional		$790.44	$1,221.53	$2,690.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.40 / $1,709.85 / $2,522.36	Professional		$1,008.40	$1,709.85	$2,522.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,580.83 / $1,851.66 / $2,221.46	Professional		$1,580.83	$1,851.66	$2,221.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.89 / $1,534.50 / $2,312.00	Facility		$1,140.89	$1,534.50	$2,312.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.08 / $1,534.10 / $2,213.08	Professional		$1,330.08	$1,534.10	$2,213.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,236.33 / $1,642.09 / $1,746.69	Facility		$1,236.33	$1,642.09	$1,746.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,194.47 / $1,754.19 / $8,647.00	Facility		$1,194.47	$1,754.19	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,491.92 / $1,772.13 / $2,394.00	Professional		$1,491.92	$1,772.13	$2,394.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,559.72 / $1,973.10 / $2,651.87	Professional		$1,559.72	$1,973.10	$2,651.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,232.83 / $1,761.19 / $2,627.30	Professional		$1,232.83	$1,761.19	$2,627.30