Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.79 / $4,684.68 / $8,728.00	Facility		$1,584.79	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.25 / $1,102.56 / $2,465.94	Professional		$715.25	$1,102.56	$2,465.94
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 $970.10 / $1,564.22 / $2,333.56	Professional		$970.10	$1,564.22	$2,333.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,429.89 / $1,695.11 / $2,009.35	Professional		$1,429.89	$1,695.11	$2,009.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,102.56 / $1,510.51 / $2,125.44	Facility		$1,102.56	$1,510.51	$2,125.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.59 / $1,452.66 / $2,084.69	Professional		$1,312.59	$1,452.66	$2,084.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,178.79 / $1,525.48 / $1,642.55	Facility		$1,178.79	$1,525.48	$1,642.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,102.56 / $1,568.37 / $2,033.70	Facility		$1,102.56	$1,568.37	$2,033.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.70 / $1,667.82 / $2,214.21	Professional		$1,445.70	$1,667.82	$2,214.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.35 / $4,294.35 / $4,294.35	Facility		$4,294.35	$4,294.35	$4,294.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,457.62 / $1,852.13 / $2,489.28	Professional		$1,457.62	$1,852.13	$2,489.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.93 / $1,640.10 / $2,455.33	Professional		$1,194.93	$1,640.10	$2,455.33