Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,734.76 / $7,920.26 / $20,400.00	Facility		$1,734.76	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.48 / $1,098.67 / $2,497.91	Professional		$715.48	$1,098.67	$2,497.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.67 / $1,515.61 / $2,323.19	Professional		$933.67	$1,515.61	$2,323.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,474.28 / $1,726.86 / $2,071.73	Professional		$1,474.28	$1,726.86	$2,071.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,041.33 / $1,434.68 / $1,892.10	Facility		$1,041.33	$1,434.68	$1,892.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.31 / $1,394.38 / $2,103.92	Professional		$1,185.31	$1,394.38	$2,103.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,090.13 / $1,499.95 / $1,598.62	Facility		$1,090.13	$1,499.95	$1,598.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,434.68 / $2,027.69	Facility		$1,040.00	$1,434.68	$2,027.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,364.12 / $1,590.83 / $2,183.80	Professional		$1,364.12	$1,590.83	$2,183.80
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 $1,453.32 / $1,862.27 / $2,502.91	Professional		$1,453.32	$1,862.27	$2,502.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $15,055.00 / $24,231.00	Facility		$2,912.00	$15,055.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.20 / $1,585.50 / $2,442.58	Professional		$1,087.20	$1,585.50	$2,442.58