Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.42 / $1,195.77 / $2,701.81	Professional		$777.42	$1,195.77	$2,701.81
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 $1,017.22 / $1,640.34 / $2,532.05	Professional		$1,017.22	$1,640.34	$2,532.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,590.03 / $1,862.44 / $2,234.40	Professional		$1,590.03	$1,862.44	$2,234.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.72 / $1,549.38 / $2,048.50	Facility		$1,177.72	$1,549.38	$2,048.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.06 / $1,514.63 / $2,273.35	Professional		$1,309.06	$1,514.63	$2,273.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,189.93 / $1,629.44 / $1,730.61	Facility		$1,189.93	$1,629.44	$1,730.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,195.14 / $1,697.39 / $5,217.00	Facility		$1,195.14	$1,697.39	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,487.40 / $1,733.94 / $2,371.96	Professional		$1,487.40	$1,733.94	$2,371.96
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 $1,576.93 / $2,016.03 / $2,709.57	Professional		$1,576.93	$2,016.03	$2,709.57
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 $1,223.03 / $1,722.71 / $2,702.46	Professional		$1,223.03	$1,722.71	$2,702.46