Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.99 / $7,920.26 / $20,400.00	Facility		$1,476.99	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.08 / $933.09 / $2,285.88	Professional		$632.08	$933.09	$2,285.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.81 / $1,365.80 / $2,048.08	Professional		$786.81	$1,365.80	$2,048.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,343.67 / $1,590.11 / $1,907.68	Professional		$1,343.67	$1,590.11	$1,907.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.20 / $1,294.94 / $1,637.10	Facility		$909.20	$1,294.94	$1,637.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.97 / $1,224.97 / $1,889.95	Professional		$1,049.97	$1,224.97	$1,889.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $925.40 / $1,279.70 / $1,461.94	Facility		$925.40	$1,279.70	$1,461.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.68 / $1,390.28 / $7,090.00	Facility		$1,006.68	$1,390.28	$7,090.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,189.53 / $1,451.15 / $2,000.08	Professional		$1,189.53	$1,451.15	$2,000.08
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 $1,268.73 / $1,687.44 / $2,267.94	Professional		$1,268.73	$1,687.44	$2,267.94
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 $946.96 / $1,389.50 / $2,140.63	Professional		$946.96	$1,389.50	$2,140.63