Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.40 / $7,920.26 / $20,400.00	Facility		$1,823.40	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.60 / $1,180.39 / $2,899.69	Professional		$741.60	$1,180.39	$2,899.69
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 $1,002.74 / $1,719.42 / $2,538.21	Professional		$1,002.74	$1,719.42	$2,538.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,697.91 / $2,000.77 / $2,400.35	Professional		$1,697.91	$2,000.77	$2,400.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,301.58 / $1,591.65 / $2,071.44	Facility		$1,301.58	$1,591.65	$2,071.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.00 / $1,554.40 / $2,398.21	Professional		$1,338.00	$1,554.40	$2,398.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.43 / $1,624.08 / $1,845.18	Facility		$1,174.43	$1,624.08	$1,845.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,301.58 / $1,757.15 / $5,217.00	Facility		$1,301.58	$1,757.15	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,489.20 / $1,833.09 / $2,533.67	Professional		$1,489.20	$1,833.09	$2,533.67
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 $1,615.89 / $2,149.50 / $2,888.95	Professional		$1,615.89	$2,149.50	$2,888.95
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 $1,200.93 / $1,670.97 / $2,854.17	Professional		$1,200.93	$1,670.97	$2,854.17