Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,756.08 / $7,074.00 / $20,400.00	Facility		$1,756.08	$7,074.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.03 / $1,235.22 / $2,363.71	Professional		$804.03	$1,235.22	$2,363.71
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 $1,046.49 / $1,701.70 / $2,604.07	Professional		$1,046.49	$1,701.70	$2,604.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,650.85 / $1,933.68 / $2,319.86	Professional		$1,650.85	$1,933.68	$2,319.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.25 / $1,607.04 / $2,134.35	Facility		$1,176.25	$1,607.04	$2,134.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.60 / $1,566.12 / $2,356.32	Professional		$1,413.60	$1,566.12	$2,356.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,224.33 / $1,675.67 / $1,794.26	Facility		$1,224.33	$1,675.67	$1,794.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,235.22 / $1,750.88 / $5,217.00	Facility		$1,235.22	$1,750.88	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,534.97 / $1,787.03 / $2,453.21	Professional		$1,534.97	$1,787.03	$2,453.21
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 $1,632.91 / $2,090.17 / $2,809.22	Professional		$1,632.91	$2,090.17	$2,809.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,268.40 / $1,793.22 / $2,798.39	Professional		$1,268.40	$1,793.22	$2,798.39