Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.76 / $7,920.26 / $20,400.00	Facility		$1,761.76	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.78 / $1,238.36 / $2,685.66	Professional		$801.78	$1,238.36	$2,685.66
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 $1,048.68 / $1,672.88 / $2,552.85	Professional		$1,048.68	$1,672.88	$2,552.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,571.92 / $1,848.33 / $2,208.94	Professional		$1,571.92	$1,848.33	$2,208.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.36 / $1,539.46 / $2,143.69	Facility		$1,238.36	$1,539.46	$2,143.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.71 / $1,521.97 / $2,290.42	Professional		$1,336.71	$1,521.97	$2,290.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,240.80 / $1,663.38 / $1,763.92	Facility		$1,240.80	$1,663.38	$1,763.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,238.36 / $1,758.36 / $5,217.00	Facility		$1,238.36	$1,758.36	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,543.06 / $1,801.32 / $2,458.26	Professional		$1,543.06	$1,801.32	$2,458.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,668.64 / $8,364.56 / $10,637.18	Facility		$4,668.64	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,636.59 / $2,031.14 / $2,723.20	Professional		$1,636.59	$2,031.14	$2,723.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.50 / $1,851.60 / $2,756.80	Professional		$1,282.50	$1,851.60	$2,756.80