Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $14,614.14 / $59,252.00	Facility		$2,747.00	$14,614.14	$59,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.52 / $1,255.40 / $1,692.14	Professional		$1,057.52	$1,255.40	$1,692.14
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 $1,393.17 / $2,285.87 / $3,583.43	Professional		$1,393.17	$2,285.87	$3,583.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,227.60 / $2,594.63 / $3,112.66	Professional		$2,227.60	$2,594.63	$3,112.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,456.66 / $1,869.81 / $3,095.60	Facility		$1,456.66	$1,869.81	$3,095.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,404.75 / $1,404.75 / $3,017.62	Professional		$1,404.75	$1,404.75	$3,017.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.46 / $1,060.66 / $1,167.74	Facility		$742.46	$1,060.66	$1,167.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,372.95 / $1,776.75 / $3,095.60	Facility		$1,372.95	$1,776.75	$3,095.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,393.17 / $2,366.94 / $3,583.43	Professional		$1,393.17	$2,366.94	$3,583.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,219.03 / $2,844.14 / $3,822.56	Professional		$2,219.03	$2,844.14	$3,822.56
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 $1,537.37 / $2,296.80 / $3,737.89	Professional		$1,537.37	$2,296.80	$3,737.89