Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.45 / $4,962.67 / $15,341.00	Facility		$2,010.45	$4,962.67	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.10 / $1,314.55 / $3,177.83	Professional		$870.10	$1,314.55	$3,177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.33 / $1,908.31 / $2,991.44	Professional		$1,142.33	$1,908.31	$2,991.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,864.76 / $2,187.85 / $2,620.46	Professional		$1,864.76	$2,187.85	$2,620.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.65 / $1,934.40 / $2,598.16	Facility		$1,412.65	$1,934.40	$2,598.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.40 / $1,774.64 / $2,676.83	Professional		$1,562.40	$1,774.64	$2,676.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.26 / $1,878.84 / $2,038.14	Facility		$1,365.26	$1,878.84	$2,038.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.65 / $1,957.65 / $2,598.16	Facility		$1,412.65	$1,957.65	$2,598.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,701.58 / $2,047.71 / $2,794.18	Professional		$1,701.58	$2,047.71	$2,794.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,859.85 / $2,374.28 / $3,191.06	Professional		$1,859.85	$2,374.28	$3,191.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,376.15 / $2,020.32 / $3,157.55	Professional		$1,376.15	$2,020.32	$3,157.55