Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $5,716.91 / $20,400.00	Facility		$1,370.73	$5,716.91	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.53 / $2,491.75 / $6,465.81	Professional		$680.53	$2,491.75	$6,465.81
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 $1,118.17 / $2,945.17 / $7,369.18	Professional		$1,118.17	$2,945.17	$7,369.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,411.68 / $2,423.12 / $6,375.51	Professional		$1,411.68	$2,423.12	$6,375.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $963.53 / $2,198.30 / $7,371.64	Facility		$963.53	$2,198.30	$7,371.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.08 / $3,696.24 / $6,094.77	Professional		$1,153.08	$3,696.24	$6,094.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,390.80 / $5,019.06 / $6,130.88	Facility		$1,390.80	$5,019.06	$6,130.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.53 / $4,192.33 / $8,304.48	Facility		$963.53	$4,192.33	$8,304.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,271.68 / $3,600.00 / $7,042.17	Professional		$1,271.68	$3,600.00	$7,042.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,285.74 / $2,288.27 / $7,757.35	Professional		$1,285.74	$2,288.27	$7,757.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,858.00 / $9,529.00 / $12,113.00	Facility		$2,858.00	$9,529.00	$12,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,963.61 / $5,702.75 / $8,360.79	Professional		$3,963.61	$5,702.75	$8,360.79