Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.15 / $7,920.26 / $20,400.00	Facility		$1,923.15	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.79 / $1,330.60 / $2,996.59	Professional		$916.79	$1,330.60	$2,996.59
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 $1,176.28 / $1,822.41 / $2,871.47	Professional		$1,176.28	$1,822.41	$2,871.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,729.24 / $2,058.96 / $2,430.02	Professional		$1,729.24	$2,058.96	$2,430.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.60 / $1,714.92 / $2,860.79	Facility		$1,330.60	$1,714.92	$2,860.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,566.99 / $1,709.44 / $2,961.39	Professional		$1,566.99	$1,709.44	$2,961.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,302.41 / $1,852.91 / $1,956.40	Facility		$1,302.41	$1,852.91	$1,956.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.44 / $1,794.28 / $2,499.65	Facility		$1,288.44	$1,794.28	$2,499.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,784.23 / $2,039.10 / $2,728.02	Professional		$1,784.23	$2,039.10	$2,728.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,791.59 / $2,279.06 / $3,063.08	Professional		$1,791.59	$2,279.06	$3,063.08
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 $1,408.75 / $2,007.77 / $3,070.29	Professional		$1,408.75	$2,007.77	$3,070.29