Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.60 / $7,920.26 / $20,400.00	Facility		$1,748.60	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.87 / $1,121.70 / $2,508.71	Professional		$767.87	$1,121.70	$2,508.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.31 / $1,698.33 / $2,452.23	Professional		$1,044.31	$1,698.33	$2,452.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,489.27 / $1,752.17 / $2,092.79	Professional		$1,489.27	$1,752.17	$2,092.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,121.70 / $1,545.04 / $2,250.80	Facility		$1,121.70	$1,545.04	$2,250.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.33 / $1,535.84 / $2,106.54	Professional		$1,287.33	$1,535.84	$2,106.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,234.34 / $1,576.84 / $1,801.63	Facility		$1,234.34	$1,576.84	$1,801.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,121.70 / $1,674.79 / $5,217.00	Facility		$1,121.70	$1,674.79	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,451.52 / $1,722.07 / $2,235.57	Professional		$1,451.52	$1,722.07	$2,235.57
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 $1,437.32 / $1,841.20 / $2,474.59	Professional		$1,437.32	$1,841.20	$2,474.59
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 $1,164.73 / $1,732.83 / $2,463.19	Professional		$1,164.73	$1,732.83	$2,463.19