Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.90 / $2,528.00 / $15,978.56	Facility		$1,487.90	$2,528.00	$15,978.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.71 / $1,048.38 / $2,681.54	Professional		$676.71	$1,048.38	$2,681.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.29 / $1,726.91 / $2,736.88	Professional		$1,039.29	$1,726.91	$2,736.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,554.31 / $1,946.57 / $2,493.55	Professional		$1,554.31	$1,946.57	$2,493.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,029.99 / $1,499.18 / $2,254.02	Facility		$1,029.99	$1,499.18	$2,254.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.15 / $1,632.23 / $2,411.59	Professional		$1,213.15	$1,632.23	$2,411.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,172.63 / $1,808.46 / $2,053.55	Facility		$1,172.63	$1,808.46	$2,053.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,031.41 / $1,524.86 / $2,707.38	Facility		$1,031.41	$1,524.86	$2,707.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,384.32 / $1,902.65 / $2,650.89	Professional		$1,384.32	$1,902.65	$2,650.89
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 $1,378.28 / $1,972.63 / $2,800.69	Professional		$1,378.28	$1,972.63	$2,800.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.54 / $2,006.32 / $3,145.68	Professional		$1,403.54	$2,006.32	$3,145.68