Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.20 / $7,920.26 / $21,735.00	Facility		$1,637.20	$7,920.26	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.21 / $904.32 / $1,915.70	Professional		$665.21	$904.32	$1,915.70
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 $840.89 / $1,430.66 / $2,192.52	Professional		$840.89	$1,430.66	$2,192.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,382.94 / $1,619.87 / $1,943.38	Professional		$1,382.94	$1,619.87	$1,943.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.97 / $1,306.80 / $1,807.10	Facility		$1,025.97	$1,306.80	$1,807.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.18 / $1,277.33 / $1,967.68	Professional		$1,114.18	$1,277.33	$1,967.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,026.06 / $1,391.88 / $1,494.10	Facility		$1,026.06	$1,391.88	$1,494.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.65 / $1,443.62 / $8,647.00	Facility		$1,035.65	$1,443.62	$8,647.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.29 / $1,493.42 / $2,047.81	Professional		$1,249.29	$1,493.42	$2,047.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,367.21 / $1,740.52 / $2,339.27	Professional		$1,367.21	$1,740.52	$2,339.27
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 $1,015.28 / $1,458.60 / $2,313.16	Professional		$1,015.28	$1,458.60	$2,313.16