Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.31 / $4,962.67 / $15,341.00	Facility		$1,521.31	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.21 / $1,057.71 / $2,442.46	Professional		$693.21	$1,057.71	$2,442.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.53 / $1,471.17 / $2,246.02	Professional		$902.53	$1,471.17	$2,246.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,444.55 / $1,692.04 / $2,029.97	Professional		$1,444.55	$1,692.04	$2,029.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.82 / $1,401.82 / $1,824.95	Facility		$1,043.82	$1,401.82	$1,824.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.40 / $1,342.20 / $2,053.27	Professional		$1,211.40	$1,342.20	$2,053.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.46 / $1,443.85 / $1,561.10	Facility		$1,055.46	$1,443.85	$1,561.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,057.71 / $1,512.32 / $2,919.00	Facility		$1,057.71	$1,512.32	$2,919.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,311.19 / $1,550.82 / $2,130.73	Professional		$1,311.19	$1,550.82	$2,130.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,418.26 / $1,818.57 / $2,444.17	Professional		$1,418.26	$1,818.57	$2,444.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.44 / $1,491.23 / $2,364.92	Professional		$1,077.44	$1,491.23	$2,364.92