Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.73 / $7,920.26 / $20,400.00	Facility		$1,433.73	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.33 / $893.87 / $1,739.43	Professional		$586.33	$893.87	$1,739.43
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 $763.16 / $1,246.14 / $1,905.46	Professional		$763.16	$1,246.14	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,433.69 / $1,720.02	Professional		$1,224.00	$1,433.69	$1,720.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $897.52 / $1,187.92 / $1,558.90	Facility		$897.52	$1,187.92	$1,558.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.80 / $1,135.80 / $1,738.85	Professional		$1,024.80	$1,135.80	$1,738.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.96 / $1,220.74 / $1,320.57	Facility		$891.96	$1,220.74	$1,320.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.33 / $1,280.21 / $5,949.00	Facility		$911.33	$1,280.21	$5,949.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,110.59 / $1,313.64 / $1,802.72	Professional		$1,110.59	$1,313.64	$1,802.72
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 $1,199.93 / $1,538.37 / $2,067.58	Professional		$1,199.93	$1,538.37	$2,067.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,186.07 / $26,404.00	Facility		$2,155.00	$12,186.07	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $891.83 / $1,300.58 / $2,056.36	Professional		$891.83	$1,300.58	$2,056.36