Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $20,400.00	Facility		$1,924.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.99 / $1,192.83 / $4,680.55	Professional		$808.99	$1,192.83	$4,680.55
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 $1,005.86 / $1,711.87 / $2,625.67	Professional		$1,005.86	$1,711.87	$2,625.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,685.31 / $1,975.77 / $2,370.36	Professional		$1,685.31	$1,975.77	$2,370.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,267.23 / $1,632.46 / $2,123.14	Facility		$1,267.23	$1,632.46	$2,123.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.60 / $1,582.24 / $2,386.88	Professional		$1,332.60	$1,582.24	$2,386.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,205.40 / $1,663.37 / $1,819.05	Facility		$1,205.40	$1,663.37	$1,819.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.23 / $1,757.84 / $5,949.00	Facility		$1,267.23	$1,757.84	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,509.70 / $1,815.16 / $2,491.73	Professional		$1,509.70	$1,815.16	$2,491.73
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 $1,656.90 / $2,119.06 / $2,848.04	Professional		$1,656.90	$2,119.06	$2,848.04
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 $1,241.36 / $1,802.37 / $2,790.98	Professional		$1,241.36	$1,802.37	$2,790.98