Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.56 / $7,920.26 / $20,400.00	Facility		$1,675.56	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.02 / $1,044.35 / $2,399.42	Professional		$700.02	$1,044.35	$2,399.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.45 / $1,458.68 / $2,172.96	Professional		$874.45	$1,458.68	$2,172.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.32 / $1,645.97 / $1,970.61	Professional		$1,402.32	$1,645.97	$1,970.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.35 / $1,409.89 / $1,965.87	Facility		$1,044.35	$1,409.89	$1,965.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.00 / $1,329.82 / $1,994.73	Professional		$1,219.00	$1,329.82	$1,994.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.71 / $1,429.11 / $1,542.34	Facility		$1,110.71	$1,429.11	$1,542.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.35 / $1,493.43 / $5,949.00	Facility		$1,044.35	$1,493.43	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,350.70 / $1,541.83 / $2,085.44	Professional		$1,350.70	$1,541.83	$2,085.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,390.58 / $1,774.86 / $2,385.42	Professional		$1,390.58	$1,774.86	$2,385.42
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 $1,045.17 / $1,507.79 / $2,300.21	Professional		$1,045.17	$1,507.79	$2,300.21